Individual
KYHAR MOOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 5TH ST NW, WASHINGTON, DC 20001-2402
(202) 460-3980
Mailing address
1406 5TH ST NW, WASHINGTON, DC 20001-2402
(202) 460-3980
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
62407
DC
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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