Individual
DR. KWEKU MICAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6180 GLENWAY AVE, UNIT H, CINCINNATI, OH 45211-6320
(513) 662-0157
Mailing address
PO BOX 688, WEST CHESTER, OH 45071-0688
(513) 662-0157
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005116
—
OH
Enumeration date
09/03/2007
Last updated
02/07/2014
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