Provider Demographics
NPI:1548805351
Name:KEMPF, KATHRYN M (MSW, APSW, LCSW-IT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:M
Last Name:KEMPF
Suffix:
Gender:F
Credentials:MSW, APSW, LCSW-IT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:M
Other - Last Name:DOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 W RIVER DR
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53090-1518
Mailing Address - Country:US
Mailing Address - Phone:262-334-4340
Mailing Address - Fax:
Practice Address - Street 1:400 W RIVER DR
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53090-1518
Practice Address - Country:US
Practice Address - Phone:262-334-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI130714104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker