Individual
MR. ABU-BAKARR KANNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5981 WYNNEWOOD DR, GROVE CITY, OH 43123-3587
(617) 372-4418
Mailing address
5981 WYNNEWOOD DR, GROVE CITY, OH 43123-3587
(617) 372-4418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.175196.MEDS-IV
OH
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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