Active NPI
Walter Loren Kemp, MD, PHD
- Forensic Pathology Physician
- Grand Forks, ND
National Provider Identifier
1891151908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 13727
- Practice address
- 501 N Columbia Rd
Mailstop 9037, RM. 5933
Grand Forks, ND 58203-2817 - Phone
- (701) 777-6941
- NPI assigned
- Jan 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 13727 | ND | Primary |
| Forensic Pathology Physician | 207ZF0201X | 10002 | MT | |
| Forensic Pathology Physician | 207ZF0201X | L5007 | TX | |
| Forensic Pathology Physician | 207ZF0201X | 9509 | SD | |
| Forensic Pathology Physician | 207ZF0201X | 59727 | MN |
Addresses
Primary practice location
501 N Columbia Rd
Mailstop 9037, RM. 5933
Grand Forks, ND 58203-2817
Mailing address
501 N Columbia Rd
Mailstop 9037, RM. 5933
Grand Forks, ND 58203-2817
Phone (701) 777-6941
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59727 | MN | MD | Forensic Pathology Physician |
| 10002 | MT | MD | Forensic Pathology Physician |
| 13727 | ND | MD | Forensic Pathology Physician |
| 9509 | SD | MD | Forensic Pathology Physician |
| L5007 | TX | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1891151908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N COLUMBIA RD",
"address_2": "MAILSTOP 9037, RM. 5933",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582032817",
"telephone_number": "701-777-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N COLUMBIA RD",
"address_2": "MAILSTOP 9037, RM. 5933",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582032817",
"telephone_number": "701-777-6941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "WALTER",
"middle_name": "LOREN",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "ND",
"license": "13727",
"primary": true
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "MT",
"license": "10002",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "TX",
"license": "L5007",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "SD",
"license": "9509",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "MN",
"license": "59727",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.