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Organization
KADDIE KALLON NURSING, LLC
Active
Organization
KADDIE KALLON NURSING, LLC
Active
Other names
SIEBITI WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KADDIE KALLON NP (CEO)
(240) 899-2928
Entity
Organization
Contact information
Practice address
1503 EVARTS ST NE, WASHINGTON, DC 20018-2017
(240) 899-2928
(240) 451-1080
Mailing address
1503 EVARTS ST NE, WASHINGTON, DC 20018-2017
(240) 899-2928
(240) 451-1080
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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