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Individual
DR. KINGSLEY C. ODIMEGWU
Active
Individual
DR. KINGSLEY C. ODIMEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHMNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN1041013
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP1041013
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R251564
MD
Other
Enumeration date
07/06/2024
Last updated
07/23/2025
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