MEDICARE: KEM HEALTH, 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
1	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1588278691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEM HEALTH, LLC

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE STE 1220
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2237
Country	:	US
Telephone Number	:	404-230-5622
Fax Number	:	404-230-5623

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE STE 1220
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2237
Country	:	US
Telephone Number	:	404-230-5622
Fax Number	:	404-230-5623

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KEISHA E MCEWEN
Credential	:	MD
Telephone Number	:	404-230-5622

Provider Enumeration Date	:	09/04/2020
Last Update Date	:	09/04/2020

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Directions to “KEM HEALTH, LLC ” Practice Location

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