Courtney Renee Kemper, CDCA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.526858 Issued in OH

Practice address

254 Pinecrest Dr
Gallipolis, OH 45631-1347

Phone

(740) 578-4824

Fax

(740) 578-4821

NPI assigned

Nov 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1578075438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 JACKSON PIKE STE 102",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456312621",
            "telephone_number": "740-578-4824",
            "fax_number": "740-578-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 PINECREST DR",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311347",
            "telephone_number": "740-578-4824",
            "fax_number": "740-578-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "COURTNEY",
        "middle_name": "RENEE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "164941",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.526858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renuka Kandula, M.D.
• Olivia Kee
• Kimberly Keene
• Jennifer Ellen Keller
• Kayla Michelle Kelley, APRN.CNP
• Molly A Kennedy, AUD
• Susan Kerns, DO
• Aqsa Izhar Khan, M.D.
• Tariq Khatib
• Raja Bhawani Shanker Khatri

• Registered Nurse in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.