Marah, Kellie Fagbowa

Marah, Kellie Fagbowa is an sole proprietor health care provider with primary practice located at 1010 Wisconsin Ave Nw , Washington DC 20007-3603. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Medical-Surgical. Nursing Service Providers / Medical-Surgical is his primary health care specialty. Marah, Kellie Fagbowa can be contacted via phone (202) 955-8355.

Contact Information

Primary practice address
1010 Wisconsin Ave Nw Washington DC 20007-3603
Fax: (703) 753-8793
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN1028482 District of Columbia
Nursing Service Providers / Medical-Surgical 163WM0705X RN1028482 District of Columbia
Nursing Service Providers / Medical-Surgical 163WM0705X R203641 Maryland

Profile Details

NPI number 1821544818
LBN Legal business name Marah, Kellie Fagbowa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2016
Last updated Aug 30th, 2016 - about 8 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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