Provider Demographics
NPI:1689240335
Name:BELL, KENDRA PATRICE
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:PATRICE
Last Name:BELL
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 1:14100 FARNSWORTH LN # 2205
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-6971
Mailing Address - Country:US
Mailing Address - Phone:240-468-6082
Mailing Address - Fax:
Practice Address - Street 1:2700 JASPER ST SE APT 149
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2063
Practice Address - Country:US
Practice Address - Phone:202-341-2087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant