Healthcare Provider Details

I. General information

NPI: 1437035961
Provider Name (Legal Business Name): KUMBA SANKOH PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7484 CANDLEWOOD RD STE K
HANOVER MD
21076-3103
US

IV. Provider business mailing address

7484 CANDLEWOOD RD STE K
HANOVER MD
21076-3103
US

V. Phone/Fax

Practice location:
  • Phone: 240-605-8149
  • Fax:
Mailing address:
  • Phone: 240-605-8149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR243619
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: