Healthcare Provider Details

I. General information

NPI: 1073305918
Provider Name (Legal Business Name): JOSEPHINE KAMARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7007
US

IV. Provider business mailing address

302 FAIRFIELD DR
SEVERN MD
21144-3459
US

V. Phone/Fax

Practice location:
  • Phone: 202-800-4387
  • Fax: 202-506-5988
Mailing address:
  • Phone: 240-619-0167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN500023365
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: