KEDESSE YEMANE
NPI 1891393088
Nurse Practitioner - Family in Charlotte, NC

Active since October 11, 2020
10628 PARK RD, CHARLOTTE, NC 28210(704) 807-6449 Get Directions Write a Review

NPPES record last updated: October 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kedesse Yemane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEDESSE YEMANE (NPI 1891393088) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (2020000794) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1891393088
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEDESSE YEMANE
Location Address10628 PARK RDCharlotte, NC 28210-8407
Mailing Address5211 Holbert CirCharlotte, NC 28269-0940 · (704) 807-6449
Sole ProprietorNo
Enumeration DateOctober 11, 2020
NPPES CertifiedOctober 11, 2020
NPI 1891393088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 2020000794
10628 PARK RD, Charlotte, NC 28210

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Pathology (Anatomic Pathology & Clinical Pathology)
10628 PARK RD
CHARLOTTE, NC 28210
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kedesse Yemane's NPI number?

The NPI number for Kedesse Yemane is 1891393088. It was assigned to this individual provider in the NPPES registry on October 11, 2020.

Where is Kedesse Yemane located?

Kedesse Yemane practices at 10628 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 807-6449.

What is Kedesse Yemane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kedesse Yemane was last updated on October 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.