Kimberly N. Kennemore, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3049 Issued in SC

Practice address

2400 Winchester PL
Suite 102
Spartanburg, SC 29301-1518

Phone

(864) 576-7188

Fax

(864) 576-8909

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly R. Nowicki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1891831921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WINCHESTER PL",
            "address_2": "SUITE 102",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011518",
            "telephone_number": "864-576-7188",
            "fax_number": "864-576-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WINCHESTER PL",
            "address_2": "SUITE 102",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011518",
            "telephone_number": "864-576-7188",
            "fax_number": "864-576-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEMORE",
        "first_name": "KIMBERLY",
        "middle_name": "N.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1619",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "NOWICKI",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynette Kemp, A.P.R.N.
• Brittany Hall Kennedy, NP
• Christin Hope Kennedy, BS, BCABA
• Kelly Kennedy, MS, LMFT-I
• Leslie Hammett Kennedy, NP
• Martha Dawn Kennington, LPN
• Ashley Rawson Kerekes, M.D.
• William W Kerfoot, MD
• Rodney Steven Kerr, LPC
• Sara Kristen Kersteter, ATC

• Occupational Therapist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.