ROSINE KELLY KOUEBOU MBOUKEM NPI 1558856476

NPI Information

NPI: 1558856476
Provider Name: ROSINE KELLY KOUEBOU MBOUKEM
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
528 SOUTHAMPTON DR
SILVER SPRING, MD
ZIP 20903
Phone: (240) 645-8318
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Rosine Kelly Kouebou Mboukem is a home health aide in Silver Spring, MD. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Rosine Kelly Kouebou Mboukem NPI is 1558856476. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

528 SOUTHAMPTON DR
SILVER SPRING, MD
ZIP 20903-633
Phone: (240) 645-8318

The enumeration date for this NPI number is 6/22/2018 and was last updated on 6/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide		HHA13767	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K-151-744-019-067	OTHER	MARYLAND	DRIVER LICENSE
2	HHA13767	OTHER	DISTRICT OF COLUMBIA	HHA LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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