Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | HYG1000357 | DC |
NPI | 1043890536 |
---|---|
Provider Name | Kimberly Ann Mcelwee |
First Address | Washington, DC 20036-2448 |
Second Address | Washington, DC 20036-2448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2021 |
Last Update Date | 09/04/2021 |