Provider Demographics
NPI:1811319544
Name:KEMP FAMILY CHIROPRACTIC PC
Entity type:Organization
Organization Name:KEMP FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-234-1700
Mailing Address - Street 1:11 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2912
Mailing Address - Country:US
Mailing Address - Phone:308-234-1700
Mailing Address - Fax:308-234-3387
Practice Address - Street 1:11 E 31ST ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2912
Practice Address - Country:US
Practice Address - Phone:308-234-1700
Practice Address - Fax:308-234-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty