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NPI Code Detail

MEDICARE: MS. RENEE LYNNE KEMSKE RD,LDN

MEDICARE:  MS. RENEE LYNNE KEMSKE  RD,LDN
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
1133N00000XNutritionistL002193NC
2133V00000XRegistered Dietitian897548NC

General Provider Information

NPI Number : 1922175140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RENEE LYNNE KEMSKE RD,LDN
Provider Business Mailing Address
First Line : 300 W TRYON ST
Second Line :
City : HILLSBOROUGH
State : NC
Zip : 27278-2438
Country : US
Telephone Number : 919-698-2022
Fax Number : 919-968-2013
Provider Business Practice Location Address
First Line : 2501 HOMESTEAD RD
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-9087
Country : US
Telephone Number : 919-968-2022
Fax Number : 919-968-2013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 09/11/2025

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