MEDICARE: PATRINA KEMPER

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1184196636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRINA KEMPER

Provider Business Mailing Address
First Line	:	4229 TURTLE CREEK DR APT B108
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-7052
Country	:	US
Telephone Number	:	409-543-9260
Fax Number	:

Provider Business Practice Location Address
First Line	:	4229 TURTLE CREEK DR APT B108
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-7052
Country	:	US
Telephone Number	:	409-543-9260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2018
Last Update Date	:	12/21/2018

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Directions to “ PATRINA KEMPER ” Practice Location

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