Provider Demographics
NPI:1558887240
Name:KEMPER, ALEXANDER (LAC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:KEMPER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 226
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:KY
Mailing Address - Zip Code:42262-0226
Mailing Address - Country:US
Mailing Address - Phone:502-627-0328
Mailing Address - Fax:
Practice Address - Street 1:622 E HILL ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1136
Practice Address - Country:US
Practice Address - Phone:502-627-0328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAC118171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist