# KEVIN O ONUEKWUSI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OLIVE CLINIC AND WELLNESS CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710600358
- **Authorized official:** KEVIN ONUEKWUSI DNP, CRNP, AGNP (OWNER OF ENTITY)
- **Authorized official phone:** (240) 416-3684

## Contact information

- **Practice address:** 3311 TOLEDO TER STE B204, HYATTSVILLE, MD 20782-8149
- **Practice address phone:** (240) 416-3684
- **Mailing address:** 3311 TOLEDO TER STE B204, HYATTSVILLE, MD 20782-8149
- **Mailing address phone:** (240) 416-3684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2022
- **Last updated:** 08/17/2023