MEDICARE: MEDEDEWE KAO

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	:	1477361095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEDEDEWE KAO

Provider Business Mailing Address
First Line	:	2617 KIRKWOOD PL APT 102
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-2621
Country	:	US
Telephone Number	:	240-495-9070
Fax Number	:

Provider Business Practice Location Address
First Line	:	2617 KIRKWOOD PL APT 102
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-2621
Country	:	US
Telephone Number	:	240-495-9070
Fax Number	:

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

Provider Enumeration Date	:	12/28/2024
Last Update Date	:	03/29/2025

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Directions to “ MEDEDEWE KAO ” Practice Location

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