institution
Kaddie Kallon Nursing, Llc
Primary Care Nurse Practitioner in Washington, District of Columbia
NPI 1366120495

Kaddie Kallon Nursing, Llc is a Primary Care Nurse Practitioner based in Washington, DC and is specialized in Primary Care. Kaddie Kallon Nursing, Llc practices in Washington, DC. The NPI Number for Kaddie Kallon Nursing, Llc is 1366120495 and holds a License No. (District of Columbia).

The current practice location address for Kaddie Kallon Nursing, Llc is 1503 Evarts St Ne, Washington, DC and can be reached out via phone at 240-899-2928 and via fax at 240-451-1080.

Location: 1503 Evarts St Ne, Washington, DC, 20018-2017
institution
Provider Profile Details
NPI Number
1366120495
Provider Name
Kaddie Kallon Nursing, Llc
Credential
Provider Entity Type
Organization
Address
1503 Evarts St Ne, Washington, DC, 20018-2017
Phone Number
240-899-2928
Fax Number
240-451-1080
Provider Enumeration Date
07/10/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427519404 01 MD NPI
institution
Provider Business Practice Location Address Details
Address
1503 Evarts St Ne
City
State
Zip
20018-2017
Phone Number
240-899-2928
Fax Number
240-451-1080
person
Provider Business Mailing Address Details
Address
1503 Evarts St Ne
City
State
Zip
20018-2017
Phone Number
240-899-2928
Fax Number
240-451-1080
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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