Individual
MARY KEHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4725 ASHBY ST NW, WASHINGTON, DC 20007-1044
(202) 965-2583
Mailing address
4725 ASHBY ST NW, WASHINGTON, DC 20007-1044
(202) 965-2583
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN41443
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN41443
RN LICENSE
DC
Enumeration date
10/10/2016
Last updated
10/10/2016
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