Provider Demographics
NPI:1598892267
Name:M D KEMPF CORPORATION
Entity Type:Organization
Organization Name:M D KEMPF CORPORATION
Other - Org Name:PSYCHIATRIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMPF
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:660-827-9802
Mailing Address - Street 1:3001 CLINTON RD
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-7917
Mailing Address - Country:US
Mailing Address - Phone:660-827-9802
Mailing Address - Fax:660-827-9822
Practice Address - Street 1:3001 CLINTON RD
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-7917
Practice Address - Country:US
Practice Address - Phone:660-827-9802
Practice Address - Fax:660-827-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO5073122058Medicaid
MO5073122058Medicaid