MEDICARE: KADIATU KARGBO

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	376K00000X	Nurse's Aide	A00099587	MD

General Provider Information

NPI Number	:	1326869785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KADIATU KARGBO

Provider Business Mailing Address
First Line	:	9789 GOOD LUCK RD APT 4
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-3343
Country	:	US
Telephone Number	:	202-541-9844
Fax Number	:

Provider Business Practice Location Address
First Line	:	4606 ADDISON RD
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-1003
Country	:	US
Telephone Number	:	202-541-9844
Fax Number	:

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

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	10/18/2024

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Directions to “ KADIATU KARGBO ” Practice Location

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