MEDICARE: DELPHINE B KONGNYUY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	374U00000X	Home Health Aide
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1720346836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELPHINE B KONGNYUY

Provider Business Mailing Address
First Line	:	350 EASTERN AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-2833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 EASTERN AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-2833
Country	:	US
Telephone Number	:	202-571-9688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	08/02/2023

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Directions to “ DELPHINE B KONGNYUY ” Practice Location

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