Individual ProviderKanay M RiddickCase Manager/Care CoordinatorOther Service ProvidersPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408(202) 878-6626(202) 355-5029PECOS EnrollmentBased on the most recent information from CMS, provider Kanay M Riddick does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1477253409Provider TypeIndividualFull NameRiddick, Kanay MGenderFemaleSole ProprietorYesEnumeration Date3/8/2023Last Updated6/8/2023Contact InformationPractice LocationPractice Address3300 Pennsylvania Ave SE, Washington, DC 20020-2408Phone(202) 878-6626FaxUnlisted FaxMailing LocationMailing Address415 Lebaum St SE # E3, Washington, DC 20032-2625Phone(202) 355-5029FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer