MEDICARE: KELEMUA MEKONNEN MUNYIE

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	163W00000X	Registered Nurse	RN1061144	DC

General Provider Information

NPI Number	:	1902735392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELEMUA MEKONNEN MUNYIE

Provider Business Mailing Address
First Line	:	2806 DEVONSHIRE CLIFFS TER
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-4064
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2806 DEVONSHIRE CLIFFS TER
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-4064
Country	:	US
Telephone Number	:	202-660-3406
Fax Number	:

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

Similar Medicare Providers

1437087566 — MO-X HOLDINGS LLC
Practice Location Address:

2816 DEVONSHIRE CLIFFS TERR
HYATTSVILLE, MD
20782

Practice Phone: 301-806-0972
Practice Fax:

1548524655 — SOLANGE MBAH
Practice Location Address:

2504 QUEENS CHAPEL RD
HYATTSVILLE, MD
20782-3646

Practice Phone: 202-545-0935
Practice Fax:

1609713981 — KEESHA ASAMOAH NP
Practice Location Address:

6601 MELVILLE ST
HYATTSVILLE, MD
20782-2461

Practice Phone: 860-709-3126
Practice Fax:

1366379422 — KRYNEM MWANDJI MBIEDA
Practice Location Address:

2631 NICHOLSON ST
HYATTSVILLE, MD
20782-2679

Practice Phone: 202-897-8347
Practice Fax:

1225035058 — HERITAGE CARE INC
Practice Location Address:

4922A LASALLE RD
HYATTSVILLE, MD
20782-3302

Practice Phone: 301-237-6677
Practice Fax: 301-576-3987

1700886140 — HYATTSVILLE VOLUNTEER FIRE DEPT
Practice Location Address:

6200 BELCREST RD
HYATTSVILLE, MD
20782-2951

Practice Phone: 301-927-5770
Practice Fax: 301-699-8947

Directions to “ KELEMUA MEKONNEN MUNYIE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.