Healthcare Provider Details
I. General information
NPI: 1619296035
Provider Name (Legal Business Name): ROBERT KEMPER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/25/2010
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 PEARSON
BENTON AR
72015-4436
US
IV. Provider business mailing address
1701 CENTERVIEW DR STE 200
LITTLE ROCK AR
72211-4312
US
V. Phone/Fax
- Phone: 501-315-4224
- Fax: 501-778-0450
- Phone: 501-231-8472
- Fax: 501-833-5012
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | P1610151 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: