Elaine M Kempker
Individual provider Active NPI Speech-Language Pathologist · Eldon, MO
NPI 1710107073 · NPPES record last updated Feb 20, 2009
Key facts
- NPI
- 1710107073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 00228 (MO)
- Practice address
- Eldon R-I
112 S Pine St
Eldon, MO 65026-1581 - Phone
- (573) 392-8003
- Fax
- (573) 392-8080
- NPI assigned
- Apr 27, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00228 | MO | Yes |
Addresses
Primary practice location
Eldon R-I
112 S Pine St
Eldon, MO 65026-1581
Mailing address
112 S Pine St
Eldon, MO 65026-1581
Phone (573) 392-8003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463131102 | Medicaid | MO |
Other providers in Eldon, MO
- Jillynn Rachele Hull
- James E Parker
- Jerry D. King, O.D.
- Cecilia K Johnston
- Calli Kempker
- Bruce Edward King
- Jerry D King
- Kristi King
- Lauren Danielle Koelling
- Katlyn Renee Kruse
All providers in Eldon, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.