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Individual

DR. KENNETH NGOCHA MORFAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
128 LANSDOWNE DR, NICHOLASVILLE, KY 40356-8235
(859) 536-9058
Mailing address
128 LANSDOWNE DR, NICHOLASVILLE, KY 40356-8235

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3015855
KY
363LA2200X
Adult Health Nurse Practitioner
3015855
KY
363LG0600X
Gerontology Nurse Practitioner
3015855
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
3015855
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000
NONE
Enumeration date
08/27/2021
Last updated
08/27/2021
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