MEDICARE: DR. GREGORY G KEMPF D.C.

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	111N00000X	Chiropractor	2049	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	34-1843997-00	OTHER	OH	BUREAU OF WORKERS COMP
3	341843997-027	OTHER	OH	CARESOURCE
4	000000140209	OTHER	OH	ANTHEM BLUE CROSS BLUE SH
5	105520	OTHER	OH	KAISER
6	95202	OTHER	OH	SUMMACARE

General Provider Information

NPI Number	:	1407874613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY G KEMPF D.C.

Provider Business Mailing Address
First Line	:	401 EUCLID AVE STE 140
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2231
Country	:	US
Telephone Number	:	216-522-0300
Fax Number	:	216-522-0420

Provider Business Practice Location Address
First Line	:	401 EUCLID AVE STE 140
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2231
Country	:	US
Telephone Number	:	216-522-0300
Fax Number	:	216-522-0420

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/09/2007

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