Provider Demographics
NPI:1821010018
Name:KEMPER, LEONA C (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEONA
Middle Name:C
Last Name:KEMPER
Suffix:
Gender:F
Credentials:DDS
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 217
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:AR
Mailing Address - Zip Code:72131-0217
Mailing Address - Country:US
Mailing Address - Phone:501-589-3323
Mailing Address - Fax:
Practice Address - Street 1:6189 HEBER SPRINGS RD. W.
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:AR
Practice Address - Zip Code:72131-0217
Practice Address - Country:US
Practice Address - Phone:501-589-3323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR28921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR448975OtherUNITED CONCORDIA
AR58368OtherBLUE CROSS BLUE SHIELD