MEDICARE: DR. NORMAN A KEMPLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	01021519A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083627939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN A KEMPLER M.D.

Provider Business Mailing Address
First Line	:	6708 POST RD
Second Line	:
City	:	FT WAYNE
State	:	IN
Zip	:	46814-9404
Country	:	US
Telephone Number	:	260-672-2799
Fax Number	:

Provider Business Practice Location Address
First Line	:	3124 E STATE BLVD
Second Line	:	SUITE 4A
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-4798
Country	:	US
Telephone Number	:	260-482-2312
Fax Number	:	260-483-3570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	02/04/2011

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