Individual
KENNEDY CHIGONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(202) 431-2600
Mailing address
9940 PARK ST, LANHAM, MD 20706-4732
(140) 543-0013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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