Provider Demographics
NPI:1154755676
Name:ARREY, KINGSLEY NDIP (HHA)
Entity type:Individual
Prefix:MR
First Name:KINGSLEY
Middle Name:NDIP
Last Name:ARREY
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4211 FALCONWOOD PL
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1300
Mailing Address - Country:US
Mailing Address - Phone:240-646-2407
Mailing Address - Fax:
Practice Address - Street 1:4211 FALCONWOOD PL
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1300
Practice Address - Country:US
Practice Address - Phone:240-646-2407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHHA2130374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide