Individual
BRENT THOMAS KEMPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
110 LAKELAND AVE, SAYVILLE, NY 11782-1912
(631) 567-2888
(631) 567-2369
Mailing address
110 LAKELAND AVE, SAYVILLE, NY 11782-1912
(631) 567-2888
(631) 567-2369
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005677
NY
213ES0131X
Foot Surgery Podiatrist
N005677
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02093709
—
NY
01
—
137686
VYTRA
—
01
—
1499422
GHI
—
01
—
2033856
UNITED HEALTHCARE
—
01
—
7232934
CIGNA
—
01
—
N005677A87
HEALTHFIRST
—
01
—
P3265675
OXFORD
—
01
—
PJ8821
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
07/26/2008
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