Provider Demographics
NPI:1295076446
Name:OKAFOR, KEZIA NKEM
Entity type:Individual
Prefix:
First Name:KEZIA
Middle Name:NKEM
Last Name:OKAFOR
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 1:5714 CYPRESS CREEK DR
Mailing Address - Street 2:APT 301
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1825
Mailing Address - Country:US
Mailing Address - Phone:301-559-1365
Mailing Address - Fax:
Practice Address - Street 1:7506 GEORGIA AVENUE
Practice Address - Street 2:WASHINGTON
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012
Practice Address - Country:US
Practice Address - Phone:202-291-6973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide