Provider Demographics
NPI:1891165726
Name:KEMP, TONI (LPN)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:KEMP
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SENTINEL DR
Mailing Address - Street 2:
Mailing Address - City:STEILACOOM
Mailing Address - State:WA
Mailing Address - Zip Code:98388-1663
Mailing Address - Country:US
Mailing Address - Phone:253-983-2338
Mailing Address - Fax:
Practice Address - Street 1:54 SENTINEL DR
Practice Address - Street 2:
Practice Address - City:STEILACOOM
Practice Address - State:WA
Practice Address - Zip Code:98388-1663
Practice Address - Country:US
Practice Address - Phone:253-983-2338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP60552918164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse