DR. KATHERINE KENNEWEG (NPI# 1861843740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861843740 |
Entity Type | Individual |
Full Name | DR. KATHERINE KENNEWEG |
Credential | M.D. |
Practice Address |
309 S Sharon Amity Rd Charlotte NC 28211-2978 |
Mailing Address |
1072 Xray Dr Gastonia NC 28054-2515 |
Practice Telephone | 7046711094 |
Mailing Telephone | 7046711094 |
Mailing Fax Number | 7046711095 |
Enumeration Date | 2016-06-22 |
Last Update Date | 2020-06-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 4301110698 | MI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
25 Michigan St Ne, St 2200, Grand Rapids, MI 495032515 | 6163913245 |
Street Address |
309 S SHARON AMITY RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-2978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013903731 | Richard Derek Brugman | Pediatrics | 309 S Sharon Amity Rd, Suite 204, Charlotte, NC 28211-2978 | 2005-09-27 |
1457986853 | Lindsey Hess | Physician Assistant | 309 S Sharon Amity Rd, Ste 302, Charlotte, NC 28211-2976 | 2020-03-05 |
1144868951 | Faith Logan Norris | Dietitian, Registered | 309 S Sharon Amity Rd, Charlotte, NC 28211-2978 | 2019-12-12 |
1962994558 | Phiyen Nguyen | Nurse Practitioner | 309 S Sharon Amity Rd, Ste 100, Charlotte, NC 28211-2978 | 2018-05-31 |
1407388309 | Triangle Wellness Pllc | Family Medicine | 309 S Sharon Amity Rd, Suite 101, Charlotte, NC 28211-2978 | 2017-03-30 |
1871035188 | Nuance Facial Plastics Pllc | Clinic/Center | 309 S Sharon Amity Rd, Ste 202, Charlotte, NC 28211-2978 | 2016-11-17 |
1336697622 | Stuart White | Chiropractor | 309 S Sharon Amity Rd, Suite 303, Charlotte, NC 28211-2978 | 2016-09-14 |
1962855544 | Nathalie Beer | Physician Assistant | 309 S Sharon Amity Rd, Suite 204, Charlotte, NC 28211-2978 | 2016-07-19 |
1205284791 | Rhya Pachin | Dietitian, Registered | 309 S Sharon Amity Rd, Suite 204, Charlotte, NC 28211-2978 | 2016-05-25 |
1528429511 | Jennifer H. Holladay | Marriage & Family Therapist | 309 S Sharon Amity Rd, Suite 310, Charlotte, NC 28211-2978 | 2016-03-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
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Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
1669945259 | Claire Engel Holmquist | Dermatology | 11301 Golf Links Dr N Ste 203, Charlotte, NC 28277-8014 | 2019-01-07 |
1497227144 | Integrated Dermatology of North Carolina, Pllc | Dermatology | 10512 Park Rd Ste 113, Charlotte, NC 28210-8469 | 2018-12-19 |
1770004376 | Laurel Castano | Dermatology | 10370 Park Rd Ste 201, Charlotte, NC 28210-8509 | 2017-07-05 |
1154732386 | Eileen Larkin Axibal | Dermatology | 15830 Ballantyne Medical Pl Ste 225, Charlotte, NC 28277-0760 | 2014-05-09 |
1013233352 | Alyssa Searles Daniel | Dermatology | 6324 Fairview Rd Ste 200, Charlotte, NC 28210-3361 | 2010-04-12 |
1538483078 | Scott Paviol | Dermatology | 2620 E 7th St Ste 200, Charlotte, NC 28204-4314 | 2010-03-25 |
1215050646 | Todd Helfman Md, Pa | Dermatology | 9335 Blakeney Centre Drive, Suite 130, Charlotte, NC 28277 | 2007-04-09 |
1346398435 | Novant Medical Group, Inc | Dermatology | 108 Providence Rd, Charlotte, NC 28207-1218 | 2007-01-08 |
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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.