Healthcare Provider Details

I. General information

NPI: 1225959851
Provider Name (Legal Business Name): SPIRIT PATH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 HOMELAND SOUTHWAY
BALTIMORE MD
21212-4113
US

IV. Provider business mailing address

4203 HECKEL AVE
BALTIMORE MD
21206-6322
US

V. Phone/Fax

Practice location:
  • Phone: 301-325-6196
  • Fax:
Mailing address:
  • Phone: 814-241-1134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL ZACHARY KEMP
Title or Position: OWNER
Credential: M.AC., L.AC.
Phone: 814-241-1134