Provider Demographics
NPI:1700385853
Name:KEMPF, RADUSTA
Entity type:Individual
Prefix:MS
First Name:RADUSTA
Middle Name:
Last Name:KEMPF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8416 CAREYS RUN POND CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEST PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45663-9045
Mailing Address - Country:US
Mailing Address - Phone:740-529-8644
Mailing Address - Fax:
Practice Address - Street 1:8416 CAREYS RUN POND CREEK RD
Practice Address - Street 2:
Practice Address - City:WEST PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45663-9045
Practice Address - Country:US
Practice Address - Phone:740-529-8644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.16210171M00000X
OH3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCDCA.162120OtherCHEMICAL DEPENDENCY PROFESSIONALS BOARD