Provider Demographics
NPI:1740465384
Name:NORMAN A KEMPLER, INC
Entity type:Organization
Organization Name:NORMAN A KEMPLER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEMPLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-482-2312
Mailing Address - Street 1:3124 E STATE BLVD
Mailing Address - Street 2:4A
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-4798
Mailing Address - Country:US
Mailing Address - Phone:260-482-2312
Mailing Address - Fax:
Practice Address - Street 1:3124 E STATE BLVD
Practice Address - Street 2:4A
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-4798
Practice Address - Country:US
Practice Address - Phone:260-482-2312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01021519A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN255210Medicare PIN
INCM9720Medicare PIN