Male or Other

Songwe Kenkwa Basil NP

Acute Care Nurse Practitioner in Washington, DC(View on Map)

Full Name

Songwe Kenkwa Basil NP

NPI Number

1104596816

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/14/2021

Specialties

(Taxonomies)

Code

363LA2100X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

R220745

Contact
Information

Purpose

Mailing
Location

Address

15017 NORTHCOTE LN
2150 PENNSYLVANIA AVE NW

City

Bowie
Washington

State

MD
DC

Postal Code

20716-1044
20037-3201

Country

US
US

Telephone Number

(202) 446-8804
(202) 741-2750

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/05/2023

Provider Address

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