Individual
KENNETH NWACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 126TH AVE NW, COON RAPIDS, MN 55448-1547
(612) 394-3302
(612) 394-3302
Mailing address
147 126TH AVE NW, COON RAPIDS, MN 55448-1547
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
422850
MN
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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