Kenyatah Tyisha Burbank
Kenyatah Tyisha Burbank is a Contractor in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
2124 Martin Luther King Jr Ave SEWashington, DC 20020-5732
Phone: (202) 563-7632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Contractor | Taxonomy 171W00000X |
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1114762457 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 27, 2024 |
| Last updated in NPPES | June 27, 2024 |
| Certification date | June 27, 2024 |
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