Provider Demographics
NPI:1154789774
Name:KEM, SERAPHINE
Entity type:Individual
Prefix:
First Name:SERAPHINE
Middle Name:
Last Name:KEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 HEIDI LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2568
Mailing Address - Country:US
Mailing Address - Phone:301-434-2249
Mailing Address - Fax:
Practice Address - Street 1:3402 HEIDI LN
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:MD
Practice Address - Zip Code:20774-2568
Practice Address - Country:US
Practice Address - Phone:301-434-2249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide