Healthcare Provider Details

I. General information

NPI: 1558180133
Provider Name (Legal Business Name): ANNA ROSE KEMPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3442 CHESTNUT AVE
BALTIMORE MD
21211-2518
US

IV. Provider business mailing address

8181 MAIN ST 2ND FLOOR
ELLICOTT CITY MD
21043-4929
US

V. Phone/Fax

Practice location:
  • Phone: 410-505-0062
  • Fax:
Mailing address:
  • Phone: 410-505-0062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2614005
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number35076
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: