Provider Demographics
NPI:1053771170
Name:KEMP, RACHAEL LEANN (FNP-C)
Entity type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:LEANN
Last Name:KEMP
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:LEANN
Other - Last Name:KEMP-DUNCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:261 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:OH
Mailing Address - Zip Code:43143-1254
Mailing Address - Country:US
Mailing Address - Phone:740-869-3235
Mailing Address - Fax:
Practice Address - Street 1:261 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:OH
Practice Address - Zip Code:43143-1254
Practice Address - Country:US
Practice Address - Phone:740-869-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18825363LP2300X
OH18825-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care