Kenneth Chucks Egbufoama
Individual provider Active NPI Nurse's Aide · Washington, DC
NPI 1265021885 · NPPES record last updated Jan 18, 2021
Key facts
- NPI
- 1265021885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NA0000812544 (WA)
- Practice address
- 6323 Georgia Ave NW Ste 305
Washington, DC 20011-1141 - Phone
- (202) 506-1242
- Fax
- (202) 506-1396
- NPI assigned
- Jan 18, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA0000812544 | WA | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA0000812544 | WA | Yes |
Addresses
Primary practice location
6323 Georgia Ave NW Ste 305
Washington, DC 20011-1141
Mailing address
6323 Georgia Ave NW Ste 305
Washington, DC 20011-1141
Phone (202) 506-1242
Other providers in Washington, DC
- Joyce Egbon
- Marieme Mama Egbon
- Benedicta Egbuanran
- Onyinyechi Modester Egbuchiri
- Tushaun Egbue
- Comfort Egbufor
- Uchechi Egbuhuzo
- Glory Egbujie
- Chiemeka Ben Egbujor
- Fatmata Egbulem
All providers in Washington, DC · Nurse's Aide in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.