Provider Demographics
NPI:1982617122
Name:KEMPER & KEMPER MDS LLP
Entity Type:Organization
Organization Name:KEMPER & KEMPER MDS LLP
Other - Org Name:KEMPER & KEMPER MDS LLP
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:VUNETICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-361-1389
Mailing Address - Street 1:4500 CHURCHAMN 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:502-381-1380
Mailing Address - Fax:502-368-1221
Practice Address - Street 1:4500 CHURCHAMN 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:502-381-1380
Practice Address - Fax:502-368-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13490207Q00000X
KY27171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7151Medicare ID - Type Unspecified