Individual
MATTHEW NWABUEZE ONYEKELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3131 QUEEN CITY AVE, CINCINNATI, OH 45238-2316
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DRIVE, #258, EDGEWOOD, KY 41017-5411
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1103267
KY
163W00000X
Registered Nurse
313328
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
080845
OH
367500000X
Certified Registered Nurse Anesthetist
COA.10660-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000609551
ANTHEM
—
05
—
200946590
—
IN
05
—
2979746
—
OH
01
—
300067305 1063493948
HEALTHNET
—
05
—
7100070800
—
KY
Enumeration date
04/01/2009
Last updated
10/27/2009
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