Healthcare Provider Details

I. General information

NPI: 1922475623
Provider Name (Legal Business Name): SARAH KEMICK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MORGANTON BLVD SW
LENOIR NC
28645-9691
US

IV. Provider business mailing address

2415 MORGANTON BLVD SW
LENOIR NC
28645-9691
US

V. Phone/Fax

Practice location:
  • Phone: 828-394-5563
  • Fax: 828-652-2981
Mailing address:
  • Phone: 828-394-5563
  • Fax: 828-652-2981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5013506
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: