Individual
KENNETH COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2612 NAYLOR RD SE, WASHINGTON, DC 20020-7260
(301) 672-9031
Mailing address
801 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-3194
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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