Provider Demographics
NPI:1518960574
Name:KEMPF SURGICAL APPLIANCES INC
Entity Type:Organization
Organization Name:KEMPF SURGICAL APPLIANCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:KEMPF
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:513-984-5758
Mailing Address - Street 1:10567 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4451
Mailing Address - Country:US
Mailing Address - Phone:513-984-5758
Mailing Address - Fax:513-984-1178
Practice Address - Street 1:10567 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4451
Practice Address - Country:US
Practice Address - Phone:513-984-5758
Practice Address - Fax:513-984-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLO0063332B00000X, 332BC3200X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000289446OtherANTHEM DME
KY90254152Medicaid
OH0492891Medicaid
OH123567600OtherDEPT OF LABOR
OHDM120OtherCHOICE CARE
OH8220159OtherUNITED HEALTHCARE
OH000000003404OtherANTHEM O&P
IN100013590AMedicaid
OH57748OtherNORTHWOOD
OH0492891Medicaid
OH=========026Medicaid
OH000000289446OtherANTHEM DME
OH=========02OtherBWC
OH123567600OtherDEPT OF LABOR