Provider Demographics
NPI:1669358800
Name:KWEH, FERDELLE VIYEN
Entity type:Individual
Prefix:
First Name:FERDELLE
Middle Name:VIYEN
Last Name:KWEH
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 1:9520 MUIRKIRK RD APT 301
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2735
Mailing Address - Country:US
Mailing Address - Phone:443-675-8104
Mailing Address - Fax:
Practice Address - Street 1:9520 MUIRKIRK RD APT 301
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2735
Practice Address - Country:US
Practice Address - Phone:443-675-8104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide