Individual
KENNETH IWUAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, CAQ-PSYCH
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
50.004316RX
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
50.004316RX
OH
363A00000X
Physician Assistant
Primary
50.004316RX
OH
Other
Enumeration date
07/14/2015
Last updated
09/17/2025
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