MEDICARE: K&B CONNECT LLC

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1790501062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K&B CONNECT LLC

Provider Business Mailing Address
First Line	:	3505 BANQUO DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2682
Country	:	US
Telephone Number	:	202-760-8478
Fax Number	:

Provider Business Practice Location Address
First Line	:	1406 WOODWELL RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2080
Country	:	US
Telephone Number	:	301-675-6861
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JEAN-PAUL BEBEY
Credential	:
Telephone Number	:	301-675-6861

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	12/02/2024

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Directions to “K&B CONNECT LLC ” Practice Location

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