MEDICARE: DR. MELISSA MARIE KEMPF MD

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	207Q00000X	Family Medicine Physician	K5579	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K5579	OTHER	TX	TX LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568541043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA MARIE KEMPF MD

Provider Business Mailing Address
First Line	:	1628 LOCKHILL SELMA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1929
Country	:	US
Telephone Number	:	210-265-5920
Fax Number	:	210-233-9139

Provider Business Practice Location Address
First Line	:	1628 LOCKHILL SELMA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1929
Country	:	US
Telephone Number	:	210-265-5920
Fax Number	:	210-233-9139

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	09/12/2020

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