Individual
KIM SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3298 FORT LINCOLN DR NE APT 210, WASHINGTON, DC 20018-4301
(202) 832-6628
Mailing address
1911 M ST NE APT 3, WASHINGTON, DC 20002-2004
(202) 380-8945
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70548470
—
DC
Enumeration date
12/27/2018
Last updated
12/27/2018
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