Provider Demographics
NPI:1912217456
Name:KEMBUMBARA, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:KEMBUMBARA
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 1:7700 ALASKA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1422
Mailing Address - Country:US
Mailing Address - Phone:301-675-5755
Mailing Address - Fax:240-609-7422
Practice Address - Street 1:7700 ALASKA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1422
Practice Address - Country:US
Practice Address - Phone:301-675-5755
Practice Address - Fax:240-609-7422
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNSA0184171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator