Individual provider · Type 1 NPI
Kevine Djuimtsop Mbalale
Administrator Registered Nurse · Washington, DC
NPI number
1225556491
Active
Practice location
2010 Rhode Island Ave NE
Washington, DC 20018-2835
Mailing address
7010 West Park Dr
Hyattsville, MD 20783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 500016824 (DC) |
Administrator Registered Nurse: Definition to come...
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About NPI 1225556491
Kevine Djuimtsop Mbalale's National Provider Identifier is 1225556491, issued on Sep 7, 2017. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Washington, DC. The record was last updated on Nov 11, 2025.