Individual
SARA M KEMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
(260) 459-0036
Mailing address
PO BOX 2526, FORT WAYNE, IN 46801-2526
(260) 436-8686
(260) 459-0036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000953A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000820795
ANTHEM
IN
05
—
OPR
—
IN
Enumeration date
08/31/2007
Last updated
01/25/2021
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