Vivian N Kenmoe (NPI# 1265694921, PAC ID# 2668648387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1265694921 |
PAC ID by PECOS | 2668648387 |
Professional Enrollment ID | I20140124000352 |
Full Name | Vivian N Kenmoe |
Organization Legal Name | SOUTHLAND TAYLOR HOSPITALIST GROUP, LLC |
Address |
222 Perry Hwy Hawkinsville GA 31036-6748 |
Phone Number | 2292004950 |
Gender | F |
Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
Graduation Year | 2008 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 6800015959 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110135 | TAYLOR REGIONAL HOSPITAL |
111302 | BLECKLEY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
222 Perry Hwy, Hawkinsville, GA 31036-6748 | 2292004950 | SOUTHLAND TAYLOR HOSPITALIST GROUP, LLC |
Organization Legal Name | SOUTHLAND TAYLOR HOSPITALIST GROUP, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
William Joseph Kolhoff | Internal Medicine | Southland Taylor Hospitalist Group, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
Street Address |
222 PERRY HWY |
City | HAWKINSVILLE |
State | GA |
Zip | 31036-6748 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cecil S Little | Psychiatry | Taylor Regional Hospital | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
John H Washington Jr. | Emergency Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
Helen E Carrington | Emergency Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
Jessica L Newby | Nurse Practitioner | Taylor Regional Hospital | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
Gary M Williams | Cardiovascular Disease (cardiology) | 222 Perry Hwy, Pulaski Professional Bldg B, Hawkinsville, GA 31036-0600 | |
Robert Campbell | General Surgery | Taylor Regional Hospital | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
Guy T Easterling | Internal Medicine | Taylor Regional Hospital | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
Akinlolu A Omitowoju | Emergency Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
Catherine K Dickens | Family Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
William C Cirillo | Internal Medicine | Southland Hawkinsville Emergency Medical Services, LLC | 222 Perry Hwy, Hawkinsville, GA 31036-6748 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Minoo H Hollis | Orthopedic Surgery | Taylor Regional Hospital | 42 Truman Rd, Hawkinsville, GA 31036-4644 |
Vundyala V Reddy | Medical Oncology | Nsh Cancer Institute Professional Services G LLC | 214 Perry Hwy, Hawkinsville, GA 31036-6748 |
Kimberli E Carpenter | Anesthesiology | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
Alexander C Ibezi-enendu | Family Medicine | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
Holly G Howell | Nurse Practitioner | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
Bailey Lanier | Nurse Practitioner | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
Michele T Edwards | Internal Medicine | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
Michele S Scarborough | Nurse Practitioner | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
Edith M Morgan | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 214 Perry Hwy, Hawkinsville, GA 31036-6748 |
Michael R Nulph | Emergency Medicine | Taylor Regional Hospital | 145 E Peacock St, Ste4, Cochran, GA 31036-6748 |
Find all physicians in zip 31036 |
City | HAWKINSVILLE |
Zip Code | 31036 |
Specialty | INTERNAL MEDICINE |
City + Specialty | HAWKINSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Vivian N Kenmoe.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.