Provider Demographics
NPI:1629764832
Name:KONTEMPO HEALTHCARE
Entity Type:Organization
Organization Name:KONTEMPO HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANALEE
Authorized Official - Middle Name:H A
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP
Authorized Official - Phone:301-661-7268
Mailing Address - Street 1:804 CYPRESS POINT CIR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2302
Mailing Address - Country:US
Mailing Address - Phone:301-661-7268
Mailing Address - Fax:301-724-4898
Practice Address - Street 1:804 CYPRESS POINT CIR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2302
Practice Address - Country:US
Practice Address - Phone:301-661-7268
Practice Address - Fax:301-724-4898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service