Individual
LORI KEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5255 E STOP 11 RD STE 430, INDIANAPOLIS, IN 46237-6341
(317) 528-1212
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
71004602A
IN
363L00000X
Nurse Practitioner
Primary
71004602A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201193870
—
IN
01
—
P01339691
RAILROAD MEDICARE
IN
Enumeration date
06/02/2006
Last updated
12/13/2019
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