Provider Demographics
NPI:1356430284
Name:KEMPAINEN, ROBERT R (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:KEMPAINEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1623
Mailing Address - Country:US
Mailing Address - Phone:612-873-3000
Mailing Address - Fax:
Practice Address - Street 1:715 S 8TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-7530
Practice Address - Country:US
Practice Address - Phone:612-873-6963
Practice Address - Fax:612-873-1928
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN45010207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1677703OtherARAZ
MNHP40336OtherHEALTH PARTNERS
MN48-00006OtherMEDICA-PRIMARY
MN521492OtherFAIRVIEW
MN091079100Medicaid
IA0554048Medicaid
MN1031655OtherPREFERRED ONE
MN142141OtherUCARE
MN48-00264OtherMEDICA-CHOICE
MN48-00006OtherMEDICA-PRIMARY
IA0554048Medicaid