Basic Information
Provider Information
NPI: 1063758837
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KEMPTON
FirstName: CURTIS
MiddleName: ELLIS
NamePrefix:  
NameSuffix: JR.
Credential: D.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26036 W 150TH TER
Address2:  
City: OLATHE
State: KS
PostalCode: 660616868
CountryCode: US
TelephoneNumber: 9135303164
FaxNumber:  
Practice Location
Address1: 7381 W 133RD ST
Address2: SUITE 302
City: OVERLAND PARK
State: KS
PostalCode: 662134750
CountryCode: US
TelephoneNumber: 9139041128
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/21/2012
LastUpdateDate: 12/21/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1104157KSY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


Home