Organization Active NPI

Kemp Coreil MD Apmc

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1447463203
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12561R Issued in LA
Legal business name
KEMP COREIL MD APMC
Practice address
105 Patriot St Ste 202
Lafayette, LA 70508-6831
Phone
(337) 504-7979
Fax
(337) 534-0252
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Dr. Kemp Coreil
Title
Doctor
Phone
(337) 504-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 12561R LA Primary

Addresses

Primary practice location

105 Patriot St Ste 202
Lafayette, LA 70508-6831

Mailing address

105 Patriot St Ste 202
Lafayette, LA 70508-6831
Phone (337) 504-7979

Other identifiers 1

IdentifierTypeStateIssuer
1541494MedicaidLA

National Provider Directory

National Provider Directory

Locations

105 Patriot St
Ste 202
Lafayette, LA 70508
Phone (337) 257-2838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1447463203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST STE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-504-7979",
            "fax_number": "337-534-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST STE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-504-7979",
            "fax_number": "337-534-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMP COREIL MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "COREIL",
        "authorized_official_first_name": "KEMP",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "337-504-3335",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12561R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541494",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.