MR. KELLIE FAGBOWA MARAH NPI 1821544818

NPI Information

NPI: 1821544818
Provider Name: MR. KELLIE FAGBOWA MARAH
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
1010 WISCONSIN AVE NW
WASHINGTON, DC
ZIP 20007
Phone: (202) 955-8355
Get Directions

MR. Kellie Fagbowa Marah is a medical-surgical registered nurse in Washington, DC. MR. Kellie Fagbowa Marah NPI is 1821544818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1010 WISCONSIN AVE NW
WASHINGTON, DC
ZIP 20007-603
Phone: (202) 955-8355
Fax: (703) 753-8793

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.

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	163W00000X	Registered Nurse		RN1028482	DISTRICT OF COLUMBIA	No
2	163WM0705X	Registered Nurse	Medical-Surgical	R203641	MARYLAND	No
3	163WM0705X	Registered Nurse	Medical-Surgical	RN1028482	DISTRICT OF COLUMBIA	Yes

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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