Healthcare Provider Details

I. General information

NPI: 1164582912
Provider Name (Legal Business Name): CRAIG M KEMPER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 01/28/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W 38TH ST SUITE 400
AUSTIN TX
78705-1167
US

IV. Provider business mailing address

801 W 38TH ST SUITE 400
AUSTIN TX
78705-1167
US

V. Phone/Fax

Practice location:
  • Phone: 512-306-1323
  • Fax: 512-306-1142
Mailing address:
  • Phone: 512-306-1323
  • Fax: 512-306-1142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberK1497
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: