Individual
KENNEDY OSADOLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 KENILWORTH AVE APT 410E, BLADENSBURG, MD 20710-2132
(202) 840-3595
Mailing address
3815 58TH AVE, HYATTSVILLE, MD 20784-1216
(240) 877-6231
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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