Individual ProviderKenneth Fredrick Remoe-DohertyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6335 Hospital Pkwy Ste 304, Duluth, GA 30097-5712(404) 778-8311(678) 727-2538PECOS EnrollmentBased on the most recent information from CMS, provider Kenneth Fredrick Remoe-Doherty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1225609506Provider TypeIndividualFull NameRemoe-Doherty, Kenneth FredrickGenderMaleSole ProprietorNoEnumeration Date7/7/2021Last Updated7/7/2021Contact InformationPractice LocationPractice Address6335 Hospital Pkwy Ste 304, Duluth, GA 30097-5712Phone(404) 778-8311FaxUnlisted FaxMailing LocationMailing Address6335 Hospital Pkwy Ste 304, Duluth, GA 30097-5712Phone(678) 727-2538FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN178260Georgia