Kennedy Chigong
Individual provider Active NPI Case Manager/Care Coordinator · Washington, DC
NPI 1730960469 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1730960469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2600 Bryan PL SE
Washington, DC 20020-4417 - Phone
- (202) 431-2600
- NPI assigned
- Oct 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2600 Bryan PL SE
Washington, DC 20020-4417
Mailing address
9940 Park St
Lanham, MD 20706-4732
Phone (140) 543-0013
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. 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.