Individual
JERRY KIDZE KINAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 PENNSYLVANIA AVE SE STE 370, WASHINGTON, DC 20003-4349
(202) 280-7070
Mailing address
6015 VALENTINE WAY, HANOVER, MD 21076-2363
(856) 631-0243
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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