NPI 1033004783

Cletus Jam Kukwa

Practitioner Case Manager/Care Coordinator Bowie, MD

Practice location

Address: 15003 Jorrick CT, Bowie, MD 20721-7295
Phone: (240) 639-3786

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1033004783
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2025
Record last updated: 12 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.