Provider Demographics
NPI:1902674963
Name:KIMBI, DEIH SANDRINE
Entity Type:Individual
Prefix:
First Name:DEIH
Middle Name:SANDRINE
Last Name:KIMBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 BRYANTOWN LN
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-5949
Mailing Address - Country:US
Mailing Address - Phone:240-923-4407
Mailing Address - Fax:
Practice Address - Street 1:7505 BRYANTOWN LN
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-5949
Practice Address - Country:US
Practice Address - Phone:240-923-4407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator