MEDICARE: KELECHI LYNDA UKAOMA

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	183500000X	Pharmacist	30780	MD
2	374U00000X	Home Health Aide	HHA14428	DC

General Provider Information

NPI Number	:	1306401385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELECHI LYNDA UKAOMA

Provider Business Mailing Address
First Line	:	1519 HEATHER HOLLOW CIR APT 22
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2385
Country	:	US
Telephone Number	:	301-272-5229
Fax Number	:

Provider Business Practice Location Address
First Line	:	1519 HEATHER HOLLOW CIR APT 22
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2385
Country	:	US
Telephone Number	:	301-272-5229
Fax Number	:

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

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	02/05/2026

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Directions to “ KELECHI LYNDA UKAOMA ” Practice Location

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