Provider Demographics
NPI:1902233208
Name:KEMPTON, DARREN M (MD, PT)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:M
Last Name:KEMPTON
Suffix:
Gender:M
Credentials:MD, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 W PERSEUS ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-5021
Mailing Address - Country:US
Mailing Address - Phone:520-518-0319
Mailing Address - Fax:
Practice Address - Street 1:MSC07 4240
Practice Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:81731
Practice Address - Country:US
Practice Address - Phone:505-272-6000
Practice Address - Fax:505-272-6003
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9388225100000X
390200000X
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist