Provider Demographics
NPI:1083340194
Name:TKUE, KONGIT ABUNUE
Entity Type:Individual
Prefix:
First Name:KONGIT
Middle Name:ABUNUE
Last Name:TKUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 SEMINARY RD APT 104N
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3506
Mailing Address - Country:US
Mailing Address - Phone:703-843-8151
Mailing Address - Fax:
Practice Address - Street 1:1958 W VIRGINIA AVE NE APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1836
Practice Address - Country:US
Practice Address - Phone:703-843-8151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide