MEDICARE: KEMPCARE INC.

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	332900000X	Non-Pharmacy Dispensing Site

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871115436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEMPCARE INC.

Provider Business Mailing Address
First Line	:	840 US HIGHWAY 1 STE 435C
Second Line	:
City	:	N PALM BEACH
State	:	FL
Zip	:	33408-3829
Country	:	US
Telephone Number	:	561-294-7741
Fax Number	:	561-805-1097

Provider Business Practice Location Address
First Line	:	840 US HIGHWAY 1 STE 435C
Second Line	:
City	:	N PALM BEACH
State	:	FL
Zip	:	33408-3829
Country	:	US
Telephone Number	:	561-294-7741
Fax Number	:	561-805-1097

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	AYANNA BABCOCK SUTHERLAND
Credential	:	PCT
Telephone Number	:	561-294-7741

Provider Enumeration Date	:	05/17/2020
Last Update Date	:	05/17/2020

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Directions to “KEMPCARE INC. ” Practice Location

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