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Clede Kemayu
Psychiatric/Mental Health Nurse Practitioner in Lucas, Texas
NPI 1063155018

Clede Kemayu is a Psychiatric/Mental Health Nurse Practitioner based in Lucas, TX and is specialized in Psychiatric/Mental Health. Clede Kemayu practices in Lucas, TX. The NPI Number for Clede Kemayu is 1063155018 and holds a License No. 1060445 (Texas).

The current practice location address for Clede Kemayu is 1200 Excellence Dr, Lucas, TX and can be reached out via phone at 469-328-1102.

Location: 1200 Excellence Dr, Lucas, TX, 75098-1848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063155018
Provider Name
Clede Kemayu
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 Excellence Dr, Lucas, TX, 75098-1848
Phone Number
469-328-1102
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 Excellence Dr
City
Lucas
State
Texas
Zip
75098-1848
Phone Number
469-328-1102
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Excellence Dr
City
Lucas
State
Texas
Zip
75098-1848
Phone Number
469-328-1102
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1060445 (Texas)
Definition
Definition to come...
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