Provider Demographics
NPI:1790373025
Name:SALEH, KENYA TENIDEA (PMHNP)
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:TENIDEA
Last Name:SALEH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2969 BRINKLEY RD APT 101
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-6012
Mailing Address - Country:US
Mailing Address - Phone:202-427-0495
Mailing Address - Fax:
Practice Address - Street 1:2969 BRINKLEY RD APT 101
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-6012
Practice Address - Country:US
Practice Address - Phone:888-879-9786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210691363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health