Individual
KELLY KEMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCGC
Contact information
Practice address
125 QUEENS RD STE 560, CHARLOTTE, NC 28204-3215
(980) 302-6270
(980) 302-6275
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-6270
(980) 302-6275
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
CG-0000193
DE
170300000X
Genetic Counselor (M.S.)
Primary
—
NC
Other
Enumeration date
10/03/2018
Last updated
08/18/2021
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