Provider Demographics
NPI:1275243107
Name:KEM PHYSICAL INC
Entity Type:Organization
Organization Name:KEM PHYSICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-342-0614
Mailing Address - Street 1:7270 NW 12TH ST STE 840
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1951
Mailing Address - Country:US
Mailing Address - Phone:305-982-8191
Mailing Address - Fax:786-360-2541
Practice Address - Street 1:7270 NW 12TH ST STE 840
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1951
Practice Address - Country:US
Practice Address - Phone:305-982-8191
Practice Address - Fax:786-360-2541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center