Provider Demographics
NPI:1780083352
Name:HEMPSTEAD, KENNETH EUGENE (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:EUGENE
Last Name:HEMPSTEAD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93022 PASCHELKE RD
Mailing Address - Street 2:
Mailing Address - City:MARCOLA
Mailing Address - State:OR
Mailing Address - Zip Code:97454-9758
Mailing Address - Country:US
Mailing Address - Phone:503-449-1478
Mailing Address - Fax:
Practice Address - Street 1:71 CENTENNIAL LOOP
Practice Address - Street 2:SUITE B
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2443
Practice Address - Country:US
Practice Address - Phone:541-505-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor