Provider Demographics
NPI:1619553724
Name:NORRRIS, KEA ADEELA
Entity Type:Individual
Prefix:MS
First Name:KEA
Middle Name:ADEELA
Last Name:NORRRIS
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 1:250 35TH ST NE APT 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2500
Mailing Address - Country:US
Mailing Address - Phone:240-860-5389
Mailing Address - Fax:
Practice Address - Street 1:3911 1ST ST SE APT 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-2349
Practice Address - Country:US
Practice Address - Phone:202-455-3542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant