Provider Demographics
NPI:1689163990
Name:KEMEI, JOASH KIPKURUI
Entity Type:Individual
Prefix:
First Name:JOASH
Middle Name:KIPKURUI
Last Name:KEMEI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 W OLIVE AVE # 1042
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-3134
Mailing Address - Country:US
Mailing Address - Phone:209-233-7944
Mailing Address - Fax:
Practice Address - Street 1:2354 PACHECO DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-5636
Practice Address - Country:US
Practice Address - Phone:209-233-7944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95008918207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine