Provider Demographics
NPI:1356914998
Name:SNEED, KEVIN LAMONT JR
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LAMONT
Last Name:SNEED
Suffix:JR
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 1:1817 GAINESVILLE ST SE APT I
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3216
Mailing Address - Country:US
Mailing Address - Phone:202-848-9871
Mailing Address - Fax:
Practice Address - Street 1:3701 4TH ST SE APT B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-5414
Practice Address - Country:US
Practice Address - Phone:240-491-1242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant