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Contact Information

JILLY KYOMO
14115 PORRINGER CT
BURTONSVILLE, MD20866-2062
 Phone: 301-383-7406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for JILLY KYOMO · (Female)

NPI Number 1316564206
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2020
Last updated 08/05/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # MTO139237
  • MD Medicaid MTO139237
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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