MEDICARE: KIYAWNA A FIELDS

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	:	1427319755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIYAWNA A FIELDS

Provider Business Mailing Address
First Line	:	2408 ELVANS RD SE
Second Line	:	APT # 301
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3580
Country	:	US
Telephone Number	:	202-678-3228
Fax Number	:

Provider Business Practice Location Address
First Line	:	2408 ELVANS RD SE
Second Line	:	APT # 301
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3580
Country	:	US
Telephone Number	:	202-678-3228
Fax Number	:

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

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	06/04/2012

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Directions to “ KIYAWNA A FIELDS ” Practice Location

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