Individual
KIESHA M. ONYENEHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6400
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 736-4180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69236
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
07/17/2024
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