Provider Demographics
NPI:1891875290
Name:KEMP CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:KEMP CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-897-1700
Mailing Address - Street 1:1044 N ESKEW RD
Mailing Address - Street 2:
Mailing Address - City:BOONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47601-7707
Mailing Address - Country:US
Mailing Address - Phone:812-897-1700
Mailing Address - Fax:812-897-0071
Practice Address - Street 1:1044 N ESKEW RD
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47601-7707
Practice Address - Country:US
Practice Address - Phone:812-897-1700
Practice Address - Fax:812-897-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002171A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN223020Medicare ID - Type Unspecified
INV03640Medicare UPIN