Individual
KENNETH WIRLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
2420 ARTESIAN LN, BOWIE, MD 20716-3802
(301) 613-3463
Mailing address
2420 ARTESIAN LN, BOWIE, MD 20716-3802
(301) 613-3463
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/28/2012
Last updated
05/17/2023
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