MEDICARE: KEMP CHIROPRACTIC CENTER, LLC

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	#826	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	T235490281	OTHER	SC	PIN

General Provider Information

NPI Number	:	1588703474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEMP CHIROPRACTIC CENTER, LLC

Provider Business Mailing Address
First Line	:	103D REGENCY COMMONS DR
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29650-5210
Country	:	US
Telephone Number	:	864-322-6077
Fax Number	:	864-322-6077

Provider Business Practice Location Address
First Line	:	103D REGENCY COMMONS DR
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29650-5210
Country	:	US
Telephone Number	:	864-322-6077
Fax Number	:	864-322-6077

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MONICA L. KEMP
Credential	:	D.C.
Telephone Number	:	864-322-6077

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	04/17/2008

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