| Kemet Health One Llc | |
|
317 E Capitol St Ste 200 Jackson MS 39201-3405 | |
| (703) 256-1600 | |
| Not Available |
| Full Name | Kemet Health One Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 317 E Capitol St Ste 200, Jackson, Mississippi |
| Authorized Official Name and Position | Andrew Schneck (COO) |
| Authorized Official Contact | 7032561600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kemet Health One Llc 5413a Backlick Rd Springfield VA 22151-3915 Ph: (703) 256-1600 | Kemet Health One Llc 317 E Capitol St Ste 200 Jackson MS 39201-3405 Ph: (703) 256-1600 |
| NPI Number | 1235811951 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235811951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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