Provider Demographics
NPI:1891572392
Name:KONE, SEBASTIEN
Entity Type:Individual
Prefix:
First Name:SEBASTIEN
Middle Name:
Last Name:KONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 E WEST HWY
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5933
Mailing Address - Country:US
Mailing Address - Phone:301-586-5292
Mailing Address - Fax:
Practice Address - Street 1:965 E WEST HWY
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5933
Practice Address - Country:US
Practice Address - Phone:301-586-5292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator