Provider Demographics
NPI:1669843918
Name:HEMPHILL-KENT, RAMONA PEARL
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:PEARL
Last Name:HEMPHILL-KENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-1132
Mailing Address - Country:US
Mailing Address - Phone:612-231-3073
Mailing Address - Fax:218-724-4041
Practice Address - Street 1:1312 2ND ST NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-1132
Practice Address - Country:US
Practice Address - Phone:612-231-3073
Practice Address - Fax:218-724-4041
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN209461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical