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DEMITRI KORNEGAY
NPI 1417413253
Counselor - Professional in Bowie, MD

Active since February 18, 2019
12805 VICAR WOODS LN, BOWIE, MD 20720(240) 876-3828(301) 809-6194 Get Directions Write a Review

NPPES record last updated: February 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demitri Kornegay NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMITRI KORNEGAY (NPI 1417413253) is an individual professional provider in Bowie, Maryland, licensed in Maryland (9050) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1417413253
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDEMITRI KORNEGAY
Location Address12805 VICAR WOODS LNBowie, MD 20720-4770
Mailing Address12805 Vicar Woods LnBowie, MD 20720-4770 · (240) 876-3828 · Fax (301) 809-6194
Phone(240) 876-3828
Fax(301) 809-6194
Sole ProprietorYes
Enumeration DateFebruary 18, 2019
✔ NPI 1417413253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · 9050
12805 VICAR WOODS LN, Bowie, MD 20720
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demitri Kornegay's NPI number?

The NPI number for Demitri Kornegay is 1417413253. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Demitri Kornegay located?

Demitri Kornegay practices at 12805 Vicar Woods Ln, Bowie, MD 20720. The listed phone number is (240) 876-3828.

What is Demitri Kornegay's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Demitri Kornegay was last updated on February 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.