Healthcare Provider Details

I. General information

NPI: 1366797417
Provider Name (Legal Business Name): CHRISTIAN KUETE NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11429 COLUMBIA PIKE # A1
SILVER SPRING MD
20904-2528
US

IV. Provider business mailing address

11429 COLUMBIA PIKE # A1
SILVER SPRING MD
20904-2528
US

V. Phone/Fax

Practice location:
  • Phone: 240-706-4949
  • Fax:
Mailing address:
  • Phone: 240-706-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR237871
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: