KELLY KEMAK


Address: 1718 E 4th St Ste 105, Charlotte, NC 28204-3193
Phone: 7043845373

KELLY KEMAK (NPI# 1215412465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215412465
Entity Type Individual
Full Name KELLY KEMAK
Credential LCGC
Practice Address 1718 E 4th St Ste 105
Charlotte
NC 28204-3193
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043845373
Practice Fax Number 7044174400
Enumeration Date 2018-10-03
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS NC Other Service Providers
N 170300000X Genetic Counselor, MS CG-0000193 DE Other Service Providers

Office Location

Street Address 1718 E 4TH ST STE 105
City CHARLOTTE
State NC
Zip Code 28204-3193

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831164383 Kristie Lynn Blair-rutherford Nurse Practitioner 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 2006-02-20
1649764275 Alexandria Tessari Genetic Counselor, MS 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 2018-06-18
1356847669 Kathryn L Berrier Genetic Counselor, MS 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 2018-04-04
1295089936 Novant Medical Group, Inc Internal Medicine 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 2012-11-02
1730499112 Ashley Marie Kaminski Genetic Counselor, MS 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 2010-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
Find all providers in zip 28204

Taxonomy Information

Taxonomy Code 170300000X
Grouping Other Service Providers
Classification Genetic Counselor, MS

Taxonomy Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
Notes: Source: National Society of Genetic Counselors [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427588243 Mariah L Gleason Genetic Counselor, MS 1021 Morehead Medical Dr Ste 2300, Charlotte, NC 28204-2991 2017-06-14
1447438403 Jennifer L Hargett Genetic Counselor, MS 1025 Morehead Medical Dr, Suite 500, Women's Institute, Charlotte, NC 28204 2008-02-01
1609079771 Shelley Kaye Dills Genetic Counselor, MS 1001 Blythe Blvd Ste 200, Clinical Genetics, Charlotte, NC 28203-5865 2007-06-07
1114900917 Teresa Bennett Brady Genetic Counselor, MS 1025 Morehead Medical St, Charlotte, NC 28204-2839 2005-11-25
1215552872 Simone Biggers Genetic Counselor, MS 1718 E 4th St Ste 404, Charlotte, NC 28204-3193 2020-06-10
1679125801 Lindsey Victoria Genetic Counselor, MS 1718 E 4th St Ste 404, Charlotte, NC 28204-3193 2019-07-09
1417513573 Tamara Lynn Haygarth Genetic Counselor, MS 1001 Blythe Blvd Ste 200, Charlotte, NC 28203-5865 2019-05-14
1578129607 Dana M Mittag Genetic Counselor, MS 1001 Blythe Blvd Ste 200, Charlotte, NC 28203-5865 2019-05-14
1649764275 Alexandria Tessari Genetic Counselor, MS 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 2018-06-18
1356847669 Kathryn L Berrier Genetic Counselor, MS 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 2018-04-04
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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