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Kulsuma Khanom
Home Health Aide in Philadelphia, Pennsylvania
NPI 1407470164

Kulsuma Khanom is a Home Health Aide based in Philadelphia, PA. Kulsuma Khanom practices in Philadelphia, PA. The NPI Number for Kulsuma Khanom is 1407470164 and holds a License No. (Pennsylvania).

The current practice location address for Kulsuma Khanom is 6176 Newtown Ave, Philadelphia, PA and can be reached out via phone at 267-250-1630.

Location: 6176 Newtown Ave, Philadelphia, PA, 19111-5928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407470164
Provider Name
Kulsuma Khanom
Credential
Provider Entity Type
Individual
Gender
Female
Address
6176 Newtown Ave, Philadelphia, PA, 19111-5928
Phone Number
267-250-1630
Fax Number
Provider Enumeration Date
05/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27804551 01 PA DL
institution
Provider Business Practice Location Address Details
Address
6176 Newtown Ave
City
Philadelphia
State
Pennsylvania
Zip
19111-5928
Phone Number
267-250-1630
Fax Number
person
Provider Business Mailing Address Details
Address
6176 Newtown Ave
City
Philadelphia
State
Pennsylvania
Zip
19111-5928
Phone Number
267-250-1630
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
(Pennsylvania)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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