MEDICARE: TIKUM KINGSLEY MUKUM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1164187936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIKUM KINGSLEY MUKUM

Provider Business Mailing Address
First Line	:	3409 DODGE PARK RD APT 303
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2021
Country	:	US
Telephone Number	:	240-906-9390
Fax Number	:

Provider Business Practice Location Address
First Line	:	3409 DODGE PARK RD APT 303
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2021
Country	:	US
Telephone Number	:	240-906-9390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2021
Last Update Date	:	11/05/2021

Similar Medicare Providers

1003449331 — SANDRINE ATEHNCHON AKAFU
Practice Location Address:

3409 DODGE PARK RD APT 201
HYATTSVILLE, MD
20785-2021

Practice Phone: 240-705-6884
Practice Fax:

1225622186 — LIZETTE NFON
Practice Location Address:

3409 DODGE PARK RD APT 303
HYATTSVILLE, MD
20785-2021

Practice Phone: 301-835-8352
Practice Fax:

1881320539 — DONNY MUKUM TEBONG
Practice Location Address:

3409 DODGE PARK RD
HYATTSVILLE, MD
20785-2021

Practice Phone: 240-467-6106
Practice Fax: 410-946-2109

1952182818 — BERNICE EFON SIKOT
Practice Location Address:

3409 DODGE PARK RD APT 301
HYATTSVILLE, MD
20785-2021

Practice Phone: 513-764-5505
Practice Fax:

1679349096 — MR. ROGERS FON ATIE
Practice Location Address:

3409 DODGE PARK RD APT 301
HYATTSVILLE, MD
20785-2021

Practice Phone: 513-799-1067
Practice Fax:

1497594535 — EDITHE MAJOLIE GUEMNE
Practice Location Address:

3409 DODGE PARK RD APT 104
HYATTSVILLE, MD
20785-2021

Practice Phone: 240-886-4165
Practice Fax:

Directions to “ TIKUM KINGSLEY MUKUM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.