Provider Demographics
NPI:1083974075
Name:KAMARA, EYOHKA (RN)
Entity Type:Individual
Prefix:
First Name:EYOHKA
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12816 MARLTON CENTER DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5150
Mailing Address - Country:US
Mailing Address - Phone:240-701-4981
Mailing Address - Fax:
Practice Address - Street 1:1108 E MAIN ST STE 906
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3539
Practice Address - Country:US
Practice Address - Phone:240-701-4981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR231931163W00000X, 163WH0200X, 163WG0000X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide