Healthcare Provider Details

I. General information

NPI: 1922361278
Provider Name (Legal Business Name): EMMANUEL KUH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2642 12TH ST NE
WASHINGTON DC
20018-1737
US

IV. Provider business mailing address

2642 12TH ST NE
WASHINGTON DC
20018-1737
US

V. Phone/Fax

Practice location:
  • Phone: 202-269-1619
  • Fax: 202-683-6739
Mailing address:
  • Phone: 202-269-1619
  • Fax: 202-683-6739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: