Provider Demographics
NPI:1871477026
Name:KEMA HEALTH SERVICES
Entity type:Organization
Organization Name:KEMA HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSYANE
Authorized Official - Middle Name:MARLYSE
Authorized Official - Last Name:KENGNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-205-3576
Mailing Address - Street 1:121 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-1529
Mailing Address - Country:US
Mailing Address - Phone:301-246-0423
Mailing Address - Fax:949-655-7796
Practice Address - Street 1:121 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-1529
Practice Address - Country:US
Practice Address - Phone:301-246-0423
Practice Address - Fax:949-655-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health