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NPI Code Detail

MEDICARE: KIYAH NKAAH

MEDICARE: KIYAH NKAAH
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
1376K00000XNurse's AideA00171924MD

General Provider Information

NPI Number : 1649877911
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIYAH NKAAH
Provider Business Mailing Address
First Line : 3207 HEWITT AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-4971
Country : US
Telephone Number : 240-722-8096
Fax Number : 240-722-8096
Provider Business Practice Location Address
First Line : 3207 HEWITT AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-4971
Country : US
Telephone Number : 240-722-8096
Fax Number : 240-722-8096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2020
Last Update Date : 10/20/2020

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Directions to “ KIYAH NKAAH ” Practice Location

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