MEDICARE: LAURA L KEMP CNM

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	367A00000X	Advanced Practice Midwife	RN183006	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

General Provider Information

NPI Number	:	1427051499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA L KEMP CNM

Provider Business Mailing Address
First Line	:	501 VAN BUREN ST
Second Line	:	SUITE 203
City	:	FOSTORIA
State	:	OH
Zip	:	44830-1534
Country	:	US
Telephone Number	:	419-435-4950
Fax Number	:	419-435-0849

Provider Business Practice Location Address
First Line	:	501 VAN BUREN ST
Second Line	:	SUITE 203
City	:	FOSTORIA
State	:	OH
Zip	:	44830-1534
Country	:	US
Telephone Number	:	419-435-4950
Fax Number	:	419-435-0849

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/15/2013

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