Individual
KELECHI AKUBUKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43000 W 9 MILE RD STE 109, NOVI, MI 48375-4180
(248) 516-4851
Mailing address
43000 W 9 MILE RD STE 109, NOVI, MI 48375-4180
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704325522
MI
Other
Enumeration date
09/07/2020
Last updated
06/28/2024
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