Individual
KENNEDY OGBONNA ANYANWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
66 CLUB RD STE 120, EUGENE, OR 97401-2439
(832) 267-6258
Mailing address
66 CLUB RD STE 120, EUGENE, OR 97401-2439
(832) 267-6258
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10016721
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1020418
TX
Other
Enumeration date
01/21/2021
Last updated
07/22/2025
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