Provider Demographics
NPI:1184868978
Name:KEMPF, CARRIE ANNE (MOTR/L)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANNE
Last Name:KEMPF
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ROCLARE DR
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-1735
Mailing Address - Country:US
Mailing Address - Phone:618-530-0169
Mailing Address - Fax:
Practice Address - Street 1:15 BRONZE POINT
Practice Address - Street 2:SUITE B
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226
Practice Address - Country:US
Practice Address - Phone:618-235-6814
Practice Address - Fax:618-235-6872
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist