Individual
KENITA IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 M ST SE APT 114, WASHINGTON, DC 20003-3406
(202) 600-5697
Mailing address
1355 MORRIS RD SE, WASHINGTON, DC 20020-5215
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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