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NPI Code Detail

MEDICARE: VICTORIA KINGE

MEDICARE:   VICTORIA  KINGE
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
1164W00000XLicensed Practical NurseLPN1008478DC
2171M00000XCase Manager/Care Coordinator
3374U00000XHome Health Aide

General Provider Information

NPI Number : 1891051157
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA KINGE
Provider Business Mailing Address
First Line : 11540 WAESCHE DR
Second Line :
City : BOWIE
State : MD
Zip : 20721-2268
Country : US
Telephone Number : 202-367-0782
Fax Number :
Provider Business Practice Location Address
First Line : 4660 MARTIN LUTHER KING JR AVE SW STE A2
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4933
Country : US
Telephone Number : 202-318-0179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2012
Last Update Date : 03/13/2026

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Directions to “ VICTORIA KINGE ” Practice Location

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