Provider Demographics
NPI:1669733200
Name:KEMPTHORNE, HEIDY MARITZA
Entity type:Individual
Prefix:MRS
First Name:HEIDY
Middle Name:MARITZA
Last Name:KEMPTHORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15835 WOODLAND SPRING COURT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6769
Mailing Address - Country:US
Mailing Address - Phone:407-556-5282
Mailing Address - Fax:
Practice Address - Street 1:15835 WOODLAND SPRING COURT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6769
Practice Address - Country:US
Practice Address - Phone:407-556-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies