Darryl Kemp

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

30AL3786-A Issued in MD

Practice address

1311 N Luzerne Ave
Baltimore, MD 21213-3715

Phone

(410) 365-8625

NPI assigned

Apr 8, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kemp And Associates Assisted Living I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1033672076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 REISTERSTOWN RD # C",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083843",
            "telephone_number": "410-365-8625",
            "fax_number": "410-580-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N LUZERNE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133715",
            "telephone_number": "410-365-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "DARRYL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MD",
            "license": "30AL3786-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEMP",
            "last_name": "ASSOCIATES ASSISTED LIVING I",
            "middle_name": "AND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jemal Kemal, D.D.S
• Bruna Kemche
• Allyson June Kemp, NURSE PRACTITIONER
• Cameron D Kemp
• Daniel Zachary Kemp, M.AC., L.ACU.
• Kayla Kemp
• Layschel Kemp, LGPC
• Mikhala Kemp
• Shamar Kemp
• Stephanie Jo Kemp

• Community Health Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community Health Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.