Provider Demographics
NPI:1396466991
Name:KACHELMEYER, EMILY JEAN (APRN, CNS)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JEAN
Last Name:KACHELMEYER
Suffix:
Gender:F
Credentials:APRN, CNS
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JEAN
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 PRESIDENT CIR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-4381
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 OLD TROLLEY RD STE 300
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-5294
Practice Address - Country:US
Practice Address - Phone:843-376-2670
Practice Address - Fax:843-376-2790
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK210232364SG0600X
SC26913364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology