Provider Demographics
NPI:1588278691
Name:KEM HEALTH, LLC
Entity type:Organization
Organization Name:KEM HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCEWEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-230-5622
Mailing Address - Street 1:550 PEACHTREE ST NE STE 1220
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2237
Mailing Address - Country:US
Mailing Address - Phone:404-230-5622
Mailing Address - Fax:404-230-5623
Practice Address - Street 1:550 PEACHTREE ST NE STE 1220
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2237
Practice Address - Country:US
Practice Address - Phone:404-230-5622
Practice Address - Fax:404-230-5623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003123344BMedicaid