Doctor Name: | MRS. BETH ANN KEMPF |
NPI Number: | 1225398472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R 147574-4 |
Business Practice Address: | 46765 Goose Creek Rd Harris, MN - 550323605 |
Business Phone Number: | 6512715501 |
Business Fax Number: | |
Mailing Address: | 46765 Goose Creek Rd, HARRIS |
State: | MN |
Postal Code: | 550323605 |
Phone Number: | 6512715501 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R 147574-4 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |