Individual
KEMI STELLA ABDUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC NP
Contact information
Practice address
9 PAERDEGAT 14TH ST, BROOKLYN, NY 11236-4114
(919) 413-1355
Mailing address
9 PAERDEGAT 14TH ST, BROOKLYN, NY 11236-4114
(919) 413-1355
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403598
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/02/2008
Last updated
01/24/2023
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