MEDICARE: MRS. KATHRYN REYNOLDS KEMPH WHNP

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	363LW0102X	Women's Health Nurse Practitioner	222812	OK

General Provider Information

NPI Number	:	1750646568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN REYNOLDS KEMPH WHNP

Provider Business Mailing Address
First Line	:	17509 COYOTE PASS DR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-0603
Country	:	US
Telephone Number	:	423-276-3582
Fax Number	:

Provider Business Practice Location Address
First Line	:	4416 N WESTERN AVE STE 20
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-5261
Country	:	US
Telephone Number	:	405-590-0950
Fax Number	:

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

Provider Enumeration Date	:	07/08/2012
Last Update Date	:	04/13/2026

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