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NPI Code Detail

MEDICARE: KEMET HEALTH ONE LLC

MEDICARE: KEMET HEALTH ONE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2261QM0850XAdult Mental Health Clinic/Center
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1346018587
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEMET HEALTH ONE LLC
Provider Business Mailing Address
First Line : 169 MADISON AVE # 11841
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5101
Country : US
Telephone Number : 703-256-1600
Fax Number :
Provider Business Practice Location Address
First Line : 250 FILLMORE ST UNIT 150
Second Line :
City : DENVER
State : CO
Zip : 80206-5001
Country : US
Telephone Number : 703-256-1600
Fax Number :
Authorized Official
Title or Position : COO
Name : MR. ANDREW SCHNECK
Credential :
Telephone Number : 703-256-1600
Provider Enumeration Date : 12/18/2023
Last Update Date : 09/02/2025

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Directions to “KEMET HEALTH ONE LLC ” Practice Location

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