Healthcare Provider Details

I. General information

NPI: 1316604051
Provider Name (Legal Business Name): KADIE TURAY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6813 99TH AVE
LANHAM MD
20706-3639
US

IV. Provider business mailing address

6813 99TH AVE
LANHAM MD
20706-3639
US

V. Phone/Fax

Practice location:
  • Phone: 240-421-4995
  • Fax: 410-946-2010
Mailing address:
  • Phone: 240-421-4995
  • Fax: 410-946-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN500023839
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: