Healthcare Provider Details

I. General information

NPI: 1033976972
Provider Name (Legal Business Name): CHRISTA KEMPINSKI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 E 2ND ST
SALEM OH
44460-2914
US

IV. Provider business mailing address

564 E 2ND ST
SALEM OH
44460-2914
US

V. Phone/Fax

Practice location:
  • Phone: 234-567-8150
  • Fax:
Mailing address:
  • Phone: 234-567-8150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0036009
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: