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NPI Code Detail

MEDICARE: DR. BRYAN KIRK KEMPER O.D.

MEDICARE: DR. BRYAN KIRK KEMPER O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist5252TTX

General Provider Information

NPI Number : 1043202369
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYAN KIRK KEMPER O.D.
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8383 W ALAMEDA AVE
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-3007
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 06/28/2022

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