Doctor Name: | LIA MARIE KEMPKER |
NPI Number: | 1275988347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1221 S Gear Ave West Burlington, IA - 526551679 |
Business Phone Number: | 3197681000 |
Business Fax Number: | |
Mailing Address: | 3127 200th St, FORT MADISON |
State: | IA |
Postal Code: | 526279787 |
Phone Number: | 3194702480 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2016 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |