Kemet Health One LLC
Clinic/Center, Multi-Specialty in Springfield, VA. Organization (NPI-2).
NPI number1710449327
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1710449327
- Entity type
- Organization (NPI-2)
- Legal business name
- Kemet Health One LLC
- Organization subpart
- No
- Enumeration date
- Apr 2, 2019
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
5413 Backlick Rd Ste ASpringfield, VA 22151-3915
Phone 412-508-7524
Mailing address
169 Madison Ave # 11841New York, NY 10016-5101
Phone 703-256-1600
Authorized official
Andrew Schneck
Ceo
4125087524
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