Kemetic Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

KEMETIC SERVICES LLC

Practice address

5635 Raby Rd Ste D
Norfolk, VA 23502-2465

Phone

(757) 337-3968

Fax

(757) 306-1116

NPI assigned

Jun 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexander Moore, PHD

Title

Ceo

Phone

(302) 423-8870

Specialties & licenses 1

Addresses

Other names 1

• Kemetic Behavioral Health Services Inc Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1003255902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S CLAYPOOL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642506",
            "telephone_number": "302-745-5351",
            "fax_number": "757-271-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 RABY RD STE D",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022465",
            "telephone_number": "757-337-3968",
            "fax_number": "757-306-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2136 Jeffrey Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235183041",
            "country_code": "US",
            "telephone_number": "757-583-2368",
            "fax_number": "757-271-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEMETIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-423-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kemetic Behavioral Health Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert E. Kelly Jr., M.D.
• Tavia Kelly, DPT
• Ursula Marta Kelly, MD
• Victoria Kaori Kelly, CD(DONA)
• Kara Alyssa Kelton, PA-C
• Clinton Dunkel Kemp, M.D.
• Jean Dobson Kemp, M.D.
• Janet K Kempf
• Kempsville Behavioral Health Pharmacy
• Kemwood Care Services

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.