Individual
RAECHELLE LYNN KEMPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 DULANEY VALLEY ROAD SUITE 110, TOWSON, MD 21204-1867
(410) 296-3104
Mailing address
901 DULANEY VALLEY RD, SUITE, TOWSON, MD 21204-2600
(410) 296-3104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041313205
IL
363LF0000X
Family Nurse Practitioner
Primary
2012004957
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K39789
MEDICARE PTAN
IL
Enumeration date
05/01/2006
Last updated
05/25/2016
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