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Individual

DR. KEVIN O ONUEKWUSI SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
13206 4TH ST, BOWIE, MD 20720-3603
(240) 416-3684
Mailing address
13206 4TH ST, BOWIE, MD 20720-3603
(240) 416-3684

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R153179
MD

Other

Enumeration date
12/20/2021
Last updated
12/20/2021
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