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NPI Code Detail

MEDICARE: OLIVER TOYO KUM

MEDICARE: OLIVER TOYO KUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1154675056
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVER TOYO KUM
Provider Business Mailing Address
First Line : 7112 KEMPTON RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-1102
Country : US
Telephone Number : 301-437-5954
Fax Number :
Provider Business Practice Location Address
First Line : 1707 L ST NW STE 900
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-4208
Country : US
Telephone Number : 202-829-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2012
Last Update Date : 03/27/2018

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Directions to “ OLIVER TOYO KUM ” Practice Location

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