MEDICARE: KEMPF SURGICAL APPLIANCES INC

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	332B00000X	Durable Medical Equipment & Medical Supplies	LO0063	OH
2	332BC3200X	Customized Equipment (DME)	LO0063	OH
3	335E00000X	Prosthetic/Orthotic Supplier	LO0063	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000289446	OTHER	OH	ANTHEM DME
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	123567600	OTHER	OH	DEPT OF LABOR
5	DM120	OTHER	OH	CHOICE CARE
6	8220159	OTHER	OH	UNITED HEALTHCARE
7	000000003404	OTHER	OH	ANTHEM O&P
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	57748	OTHER	OH	NORTHWOOD

General Provider Information

NPI Number	:	1518960574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEMPF SURGICAL APPLIANCES INC

Provider Business Mailing Address
First Line	:	10567 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4451
Country	:	US
Telephone Number	:	513-984-5758
Fax Number	:	513-984-1178

Provider Business Practice Location Address
First Line	:	10567 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4451
Country	:	US
Telephone Number	:	513-984-5758
Fax Number	:	513-984-1178

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STEPHEN R KEMPF
Credential	:	C.O.
Telephone Number	:	513-984-5758

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/21/2011

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