MEDICARE: KRISTEN DEMPSEY LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1538731625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRISTEN DEMPSEY LLC

Provider Business Mailing Address
First Line	:	PO BOX 60032
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32906-0032
Country	:	US
Telephone Number	:	321-222-0039
Fax Number	:

Provider Business Practice Location Address
First Line	:	2475 PALM BAY RD NE
Second Line	:	SUITE 130, UNIT 8
City	:	PALM BAY
State	:	FL
Zip	:	32905-3290
Country	:	US
Telephone Number	:	321-222-0039
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KRISTEN DEMPSEY
Credential	:
Telephone Number	:	321-222-0039

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	10/28/2021

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Directions to “KRISTEN DEMPSEY LLC ” Practice Location

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