Provider Demographics
NPI:1316708217
Name:NKENKENG, LUCY ATEMKENG
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:ATEMKENG
Last Name:NKENKENG
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 1:8531 GREENBELT RD APT 201
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2322
Mailing Address - Country:US
Mailing Address - Phone:240-644-3940
Mailing Address - Fax:
Practice Address - Street 1:8531 GREENBELT RD APT 201
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2322
Practice Address - Country:US
Practice Address - Phone:240-644-3940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty