Healthcare Provider Details

I. General information

NPI: 1649134537
Provider Name (Legal Business Name): DANIELLE LYNN KAEMPFER RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 SAN CLEMENTE PL
BOCA RATON FL
33433-1005
US

IV. Provider business mailing address

7440 SAN CLEMENTE PL
BOCA RATON FL
33433-1005
US

V. Phone/Fax

Practice location:
  • Phone: 561-299-1164
  • Fax: 561-567-7756
Mailing address:
  • Phone: 561-299-1164
  • Fax: 561-567-7756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND4466
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: