Provider Demographics
NPI:1811014764
Name:KEMNER, KEVIN WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:WILLIAM
Last Name:KEMNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 N ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3837
Mailing Address - Country:US
Mailing Address - Phone:305-433-0240
Mailing Address - Fax:305-517-6470
Practice Address - Street 1:2409 N ROOSEVELT BLVD
Practice Address - Street 2:SUITE 9
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3837
Practice Address - Country:US
Practice Address - Phone:305-433-0240
Practice Address - Fax:305-517-6470
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2203111N00000X
NJ5014111N00000X
NY7464111N00000X
FL9362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL60054OtherAETNA
FL002WTOtherBC/BS FL
FL64352OtherBCBSFL
FL62308OtherCIGNA