Kyomo, Jilly

Kyomo, Jilly is an sole proprietor health care provider with primary practice located at 14115 Porringer Ct , Burtonsville MD 20866-2062. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Kyomo, Jilly can be contacted via phone (301) 383-7406.

Contact Information

Primary practice address
14115 Porringer Ct Burtonsville MD 20866-2062
Phone: (301) 383-7406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X MTO139237 Maryland
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1316564206
LBN Legal business name Kyomo, Jilly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2020
Last updated Aug 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316564206 NPPES
Maryland MEDICAID MTO139237

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