Provider Demographics
NPI:1770595035
Name:KEMPER, WARREN R (M D)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:R
Last Name:KEMPER
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4500 CHURCHMAN AVE
Mailing Address - Street 2:#101
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40215-1143
Mailing Address - Country:US
Mailing Address - Phone:502-361-1389
Mailing Address - Fax:502-368-1221
Practice Address - Street 1:4500 CHURCHMAN AVE
Practice Address - Street 2:#101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-1143
Practice Address - Country:US
Practice Address - Phone:502-361-1389
Practice Address - Fax:502-368-1221
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY27171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine