Individual
KEHINDE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7420 CRANE PL, HYATTSVILLE, MD 20785-4606
(202) 549-2494
Mailing address
7420 CRANE PL, HYATTSVILLE, MD 20785-4606
(202) 549-2494
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747P1801X
HEATH CARE
DC
Enumeration date
10/05/2022
Last updated
10/05/2022
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