Basic Information
| Provider Information | |||||||||
| NPI: | 1467898916 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KEMNADE | ||||||||
| FirstName: | JAN | ||||||||
| MiddleName: | OLE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., PHD. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 BAYLOR PLZ | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770303411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137984951 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6720 BERTNER AVE | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8323552666 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2013 | ||||||||
| LastUpdateDate: | 11/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | R3695 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | BP10046666 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0003X | R3695 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 208M00000X | R3695 | TX | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.