Provider Demographics
NPI:1528044336
Name:KEMPER, WILLIAM E (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:KEMPER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9610 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40299-2737
Mailing Address - Country:US
Mailing Address - Phone:502-267-6419
Mailing Address - Fax:502-267-6163
Practice Address - Street 1:9610 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:JEFFERSONTOWN
Practice Address - State:KY
Practice Address - Zip Code:40299-2737
Practice Address - Country:US
Practice Address - Phone:502-267-6419
Practice Address - Fax:502-267-6163
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY54791223P0221X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist