Organization
KEMELL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA L ALMANZA (COO)
(608) 518-3654
Entity
Organization
Contact information
Practice address
W5491 WINDMILL RIDGE RD, NEW GLARUS, WI 53574-9489
(608) 212-2092
(928) 277-4942
Mailing address
W5491 WINDMILL RIDGE RD, NEW GLARUS, WI 53574-9489
(608) 212-2092
(928) 277-4942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487274247
NPI
—
01
—
K100698488
PTAN
WI
01
—
Z244505
PTAN
AZ
Enumeration date
04/22/2020
Last updated
07/06/2023
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