Individual
KENNETH NWOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1243 E BROAD ST, COLUMBUS, OH 43205-1404
(614) 321-7856
Mailing address
1243 E BROAD ST, COLUMBUS, OH 43205-1404
(614) 321-7856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
026281
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
026281
OH
Other
Enumeration date
08/06/2019
Last updated
04/29/2023
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