# MR. EDWIN CHARLES KHONYONGWA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922611078
- **Gender:** Man
- **Credential:** LALFA, LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 0002092297 | VA | Yes |

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 08/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0002092297 | LICENSED PRACTICAL NURSE | VA |
| 01 | — | 1401150271 | NURSE AID | VA |
| 01 | — | 1706001017 | ASSISTED LIVING ADMINISTRATOR | VA |
| 01 | — | 1732000897 | NURSING HOME ADMINISTRATOR | VA |