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NPI Code Detail

MEDICARE: DR. ALICE ROSE KEMPE PH.D, R.N.,C.S.

MEDICARE: DR. ALICE ROSE KEMPE PH.D, R.N.,C.S.
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
1163WP0809XAdult Psychiatric/Mental Health Registered NurseNS01369OH

General Provider Information

NPI Number : 1669590980
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICE ROSE KEMPE PH.D, R.N.,C.S.
Provider Business Mailing Address
First Line : 37623 HARLOW DR
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-5763
Country : US
Telephone Number : 440-946-6321
Fax Number :
Provider Business Practice Location Address
First Line : 13422 KINSMAN RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4410
Country : US
Telephone Number : 216-283-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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