Individual provider · Type 1 NPI

Kevin Longangu

Student in an Organized Health Care Education/Training Program · Brandywine, MD

NPI number 1295499556 Active

Practice location

13950 Brandywine Rd
Brandywine, MD 20613-5815

Call (301) 782-2250 Map

Mailing address

10409 Vista Gardens Dr
Bowie, MD 20720-4234

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295499556

Kevin Longangu's National Provider Identifier is 1295499556, issued on Oct 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brandywine, MD. The record was last updated on Oct 27, 2021.