DR. KATHERINE KENNEWEG


Address: 309 S Sharon Amity Rd, Charlotte, NC 28211-2978
Phone: 7046711094

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 4301110698 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
25 Michigan St Ne, St 2200, Grand Rapids, MI 495032515 6163913245

Office Location

Street Address 309 S SHARON AMITY RD
City CHARLOTTE
State NC
Zip Code 28211-2978

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City CHARLOTTE
Zip Code 28211

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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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