Constance Iantha Kemph, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00004563 Issued in AL

Practice address

601 West Blvd
Birmingham, AL 35206-1300

Phone

(205) 591-5180

Fax

(205) 551-0347

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Miss Constance Iantha Crauswell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1790754448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WEST BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061300",
            "telephone_number": "205-591-5180",
            "fax_number": "205-551-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WEST BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061300",
            "telephone_number": "205-591-5180",
            "fax_number": "205-551-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPH",
        "first_name": "CONSTANCE",
        "middle_name": "IANTHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00004563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303719357",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "G588",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "051510119",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "CRAUSWELL",
            "middle_name": "IANTHA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Winter Kelsoe, PT
• Norman Keltner
• Venugopal Naik Keluth Chavan, MD
• Dwight Kemp
• Elizabeth A Kemp, PHD
• William Owen Kenan II, DO
• Charles Phillip Kendrick, CRNA
• Henry S Kendrick V, DMD
• Mairi Kendrick, PT, DPT
• Mallory Kendrick, CRNA

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.