Individual ProviderHaley KempfStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive, City Tower, CA 92868(714) 456-5691PECOS EnrollmentBased on the most recent information from CMS, provider Haley Kempf is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1215789318Provider TypeIndividualFull NameKempf, HaleyGenderFemaleSole ProprietorYesEnumeration Date4/2/2024Last Updated4/2/2024Contact InformationPractice LocationPractice Address101 The City Drive, City Tower, CA 92868Phone(714) 456-5691FaxUnlisted FaxMailing LocationMailing Address101 The City Dr S Ste 400, Orange, CA 92868-3201Phone(714) 456-5691FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer