Provider Demographics
NPI:1932552932
Name:KUHVESEGE, EMILE
Entity Type:Individual
Prefix:
First Name:EMILE
Middle Name:
Last Name:KUHVESEGE
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 1:4603 YATES RD
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2681
Mailing Address - Country:US
Mailing Address - Phone:301-377-4567
Mailing Address - Fax:
Practice Address - Street 1:4603 YATES RD
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2681
Practice Address - Country:US
Practice Address - Phone:301-377-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12234374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide