Kevin Achuo Antem
Case Manager/Care Coordinator in Laurel, MD. Individual provider (NPI-1).
NPI number1801669841
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1801669841
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin Achuo Antem
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2023
- Certification date
- Nov 1, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
13006 Old Stage Coach RdLaurel, MD 20708-1628
Phone 240-716-8084
Mailing address
13006 Old Stage Coach RdLaurel, MD 20708-1628
Phone 240-716-8084
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