Healthcare Provider Details

I. General information

NPI: 1427578160
Provider Name (Legal Business Name): DOROTHY VELMA KINARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 BUNKER HILL RD NE
WASHINGTON DC
20017-3026
US

IV. Provider business mailing address

1200 N CAPITOL ST NW APT B309
WASHINGTON DC
20002-7538
US

V. Phone/Fax

Practice location:
  • Phone: 202-635-5756
  • Fax: 202-635-5780
Mailing address:
  • Phone: 202-276-9379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA12892
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: