MEDICARE: JUSTIN KEMPF HEALTH COACH

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	171400000X	Health & Wellness Coach		TX

General Provider Information

NPI Number	:	1730984899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN KEMPF HEALTH COACH

Provider Business Mailing Address
First Line	:	4912 MEADOW FALLS DR
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76244-2309
Country	:	US
Telephone Number	:	817-992-8128
Fax Number	:

Provider Business Practice Location Address
First Line	:	4912 MEADOW FALLS DR
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76244-2309
Country	:	US
Telephone Number	:	817-992-8128
Fax Number	:

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

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	02/13/2025

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Directions to “ JUSTIN KEMPF HEALTH COACH” Practice Location

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