Provider Demographics
NPI:1457249872
Name:YENKEY, KOKOUVI
Entity type:Individual
Prefix:
First Name:KOKOUVI
Middle Name:
Last Name:YENKEY
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 1:11 AUTUMN HILL WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1804
Mailing Address - Country:US
Mailing Address - Phone:571-631-8952
Mailing Address - Fax:
Practice Address - Street 1:11 AUTUMN HILL WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1804
Practice Address - Country:US
Practice Address - Phone:571-631-8952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200005063374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide