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NPI Code Detail

MEDICARE: MS. BRITTANY EILEEN KEMNETZ CPNP-PC

MEDICARE: MS. BRITTANY EILEEN KEMNETZ CPNP-PC
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
1363LP0200XPediatric Nurse PractitionerAPRN.CNP.0038165OH
2363LP0200XPediatric Nurse Practitioner59749NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558982595
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRITTANY EILEEN KEMNETZ CPNP-PC
Provider Business Mailing Address
First Line : PO BOX 933421
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2211 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2719
Country : US
Telephone Number : 505-272-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2020
Last Update Date : 02/13/2026

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