Individual
KINGSLEY MONTHE ETAKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(202) 790-7619
Mailing address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(202) 790-7619
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/10/2024
Last updated
04/14/2025
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