Individual
KENECHUKWU B OZOMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 827-3636
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 325-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17130-33
WI
363LA2200X
Adult Health Nurse Practitioner
17130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100379102
—
WI
Enumeration date
04/25/2025
Last updated
11/13/2025
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