Provider Demographics
NPI:1518725290
Name:KOHO, VICKY CHINYERE
Entity Type:Individual
Prefix:
First Name:VICKY
Middle Name:CHINYERE
Last Name:KOHO
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 1:3424 DODGE PARK RD APT 204
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2049
Mailing Address - Country:US
Mailing Address - Phone:240-544-8213
Mailing Address - Fax:
Practice Address - Street 1:3424 DODGE PARK RD APT 204
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2049
Practice Address - Country:US
Practice Address - Phone:240-544-8213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator