Provider Demographics
NPI:1841835899
Name:KEMIREMBE, ANNET
Entity type:Individual
Prefix:
First Name:ANNET
Middle Name:
Last Name:KEMIREMBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12436 MAIN CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-8642
Mailing Address - Country:US
Mailing Address - Phone:781-268-7279
Mailing Address - Fax:
Practice Address - Street 1:12436 MAIN CAMPUS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-8642
Practice Address - Country:US
Practice Address - Phone:781-268-7279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide