Provider Demographics
NPI:1235998238
Name:KEMET HEALTH ONE LLC
Entity Type:Organization
Organization Name:KEMET HEALTH ONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNECK
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:703-256-1600
Mailing Address - Street 1:PO BOX 360785
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-6785
Mailing Address - Country:US
Mailing Address - Phone:170-325-6160
Mailing Address - Fax:
Practice Address - Street 1:700 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6800
Practice Address - Country:US
Practice Address - Phone:703-256-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty