Individual
GUILLAUME KENGNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9266 GILES POND DR, MECHANICSVILLE, VA 23116-6224
(804) 319-0556
Mailing address
9266 GILES POND DR, MECHANICSVILLE, VA 23116-6224
(804) 319-0556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001214228
VA
163WC1500X
Community Health Registered Nurse
0001214228
VA
163WH0200X
Home Health Registered Nurse
Primary
0001214228
VA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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