Individual provider Active NPI

Kevin William Kemner, D.C.

  • Chiropractor
  • Key West, FL
National Provider Identifier
1811014764
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9362 Issued in FL
Practice address
2409 N Roosevelt Blvd
Suite 9
Key West, FL 33040-3837
Phone
(305) 433-0240
Fax
(305) 517-6470
NPI assigned
Mar 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2203 AL
Chiropractor 111N00000X 5014 NJ
Chiropractor 111N00000X 7464 NY
Chiropractor 111N00000X 9362 FL Primary

Addresses

Primary practice location

2409 N Roosevelt Blvd
Suite 9
Key West, FL 33040-3837

Mailing address

2409 N Roosevelt Blvd
Suite 9
Key West, FL 33040-3837
Phone (305) 433-0240

Other identifiers 4

IdentifierTypeStateIssuer
60054OtherFLAETNA
002WTOtherFLBC/BS FL
64352OtherFLBCBSFL
62308OtherFLCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9362FLMDChiropractor
5014NJMDChiropractor
7464NYMDChiropractor
2203ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Mechanics Centers Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1811014764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 N ROOSEVELT BLVD",
            "address_2": "SUITE 9",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403837",
            "telephone_number": "305-433-0240",
            "fax_number": "305-517-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 N ROOSEVELT BLVD",
            "address_2": "SUITE 9",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403837",
            "telephone_number": "305-433-0240",
            "fax_number": "305-517-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMNER",
        "first_name": "KEVIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2203",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "5014",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "7464",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL",
            "identifier": "002WT",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "64352",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "62308",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.