Kelly Marie Wemken
Individual provider Active NPI Health & Wellness Coach · Kenneth City, FL
NPI 1013668797 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1013668797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 4300 58TH St N Apt 1808
Kenneth City, FL 33709-5343 - Phone
- (847) 450-8414
- NPI assigned
- Jan 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
4300 58TH St N Apt 1808
Kenneth City, FL 33709-5343
Mailing address
4300 58TH St N Apt 1808
Kenneth City, FL 33709-5343
Phone (847) 450-8414
Other providers in Kenneth City, FL
- Verlyrose Christine Taruc Torres
- Rosmeury Venero Rodriguez
- Elizabeth Watson
- Jason Jeremy Weber
- Kathryn S. Wefel
- Dawn Willey Earls
- Dawn M Williams
- Rena Gentle Hope Williams
- Mili Maria Xavier
- Joseph R Zucco
All providers in Kenneth City, FL · Health & Wellness Coach in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.