Provider Demographics
NPI:1295008407
Name:KEMPINSKI, THOMAS LEONARD JR (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEONARD
Last Name:KEMPINSKI
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 GROVEWAY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2226
Mailing Address - Country:US
Mailing Address - Phone:313-492-8887
Mailing Address - Fax:
Practice Address - Street 1:16 WESTBROOK PL
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:CT
Practice Address - Zip Code:06498-3902
Practice Address - Country:US
Practice Address - Phone:678-861-3424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11977111N00000X
CT002133111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX320421Medicare PIN