Healthcare Provider Details

I. General information

NPI: 1902891922
Provider Name (Legal Business Name): KEMPFER PROSTHETICS ORTHOTICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4365 W LOOMIS RD
GREENFIELD WI
53220-4147
US

IV. Provider business mailing address

4365 W LOOMIS RD
GREENFIELD WI
53220-4147
US

V. Phone/Fax

Practice location:
  • Phone: 414-817-1452
  • Fax: 414-817-1461
Mailing address:
  • Phone: 414-817-1452
  • Fax: 414-817-1461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name: JOEL J KEMPFER
Title or Position: PRESIDENT
Credential: CP
Phone: 414-817-1452