Provider Demographics
NPI:1437028479
Name:ABIAM, KELVIN DANSO
Entity type:Individual
Prefix:
First Name:KELVIN
Middle Name:DANSO
Last Name:ABIAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13119 SHINNECOCK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7315
Mailing Address - Country:US
Mailing Address - Phone:480-543-9707
Mailing Address - Fax:
Practice Address - Street 1:1300 I ST NW STE 473
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3314
Practice Address - Country:US
Practice Address - Phone:202-749-8518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator