MEDICARE: MS. LINDA MARIE KEMPER MS SLP CFY

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	235Z00000X	Speech-Language Pathologist	2006013843	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	37608016	OTHER	MO	BCBS

General Provider Information

NPI Number	:	1548305766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA MARIE KEMPER MS SLP CFY

Provider Business Mailing Address
First Line	:	1343 VILLAGE DR
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-2457
Country	:	US
Telephone Number	:	816-232-2878
Fax Number	:	816-232-5056

Provider Business Practice Location Address
First Line	:	1343 VILLAGE DR
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-2457
Country	:	US
Telephone Number	:	816-232-2878
Fax Number	:	816-232-5056

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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Directions to “ MS. LINDA MARIE KEMPER MS SLP CFY” Practice Location

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