Provider Demographics
NPI:1508753740
Name:KEMPER, LORI ANN
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:KEMPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:CHICKASAW
Mailing Address - State:OH
Mailing Address - Zip Code:45826-4526
Mailing Address - Country:US
Mailing Address - Phone:567-644-9644
Mailing Address - Fax:
Practice Address - Street 1:37 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:CHICKASAW
Practice Address - State:OH
Practice Address - Zip Code:45826-4526
Practice Address - Country:US
Practice Address - Phone:567-644-9644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant