Provider Demographics
NPI:1033902549
Name:WENDEU FOYET PETNKEU, FRANK KENNY
Entity type:Individual
Prefix:
First Name:FRANK KENNY
Middle Name:
Last Name:WENDEU FOYET PETNKEU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7727 HIAWATHA LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2601
Mailing Address - Country:US
Mailing Address - Phone:240-789-7113
Mailing Address - Fax:
Practice Address - Street 1:7727 HIAWATHA LN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2601
Practice Address - Country:US
Practice Address - Phone:240-789-7113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide