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Individual

KELVIN KANG NONG IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A3, WASHINGTON, DC 20032-4958
(202) 318-0179
Mailing address
10403 FALLING LEAF CT, SPRINGDALE, MD 20774-7507
(240) 610-3654

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/03/2023
Last updated
05/06/2024
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