MEDICARE: PHILLIP WILLIAM KEMPF M. 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
1	207RR0500X	Rheumatology Physician	0101048122	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	237058	OTHER	VA	ANTHEM BLUE SHIELD
2	416548	OTHER	VA	MAMSI, ALLIANCE PPO
3	B7980001	OTHER	DC	CARE FIRST

General Provider Information

NPI Number	:	1386662286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP WILLIAM KEMPF M. D.

Provider Business Mailing Address
First Line	:	1635 N GEORGE MASON DR STE 220
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3606
Country	:	US
Telephone Number	:	703-525-3069
Fax Number	:	703-525-3850

Provider Business Practice Location Address
First Line	:	1635 N GEORGE MASON DR STE 220
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3606
Country	:	US
Telephone Number	:	703-525-3069
Fax Number	:	703-525-3850

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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