Healthcare Provider Details

I. General information

NPI: 1205565066
Provider Name (Legal Business Name): KENTURKEY NURSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9332 ANNAPOLIS RD STE 308
LANHAM MD
20706-3113
US

IV. Provider business mailing address

9332 ANNAPOLIS RD STE 308
LANHAM MD
20706-3113
US

V. Phone/Fax

Practice location:
  • Phone: 240-388-2521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNIE KARMO
Title or Position: CEO
Credential:
Phone: 240-388-2521