Provider Demographics
NPI:1912682683
Name:NKEMNKENG, ASONGANYI FELIX
Entity Type:Individual
Prefix:
First Name:ASONGANYI
Middle Name:FELIX
Last Name:NKEMNKENG
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 1:9971 GOOD LUCK RD APT 202
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3278
Mailing Address - Country:US
Mailing Address - Phone:240-461-0813
Mailing Address - Fax:
Practice Address - Street 1:9971 GOOD LUCK RD APT 202
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3278
Practice Address - Country:US
Practice Address - Phone:240-461-0813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251S00000XAgenciesCommunity/Behavioral Health