Healthcare Provider Details

I. General information

NPI: 1235074592
Provider Name (Legal Business Name): NOVIR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2606 PHOENIX DR STE 300
GREENSBORO NC
27406-6356
US

IV. Provider business mailing address

126 N JEFFERSON ST STE 100
MILWAUKEE WI
53202-6120
US

V. Phone/Fax

Practice location:
  • Phone: 414-269-9530
  • Fax:
Mailing address:
  • Phone: 414-269-9530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER KEMPE
Title or Position: OWNER
Credential:
Phone: 414-269-9530