Provider Demographics
NPI:1083981138
Name:GWEYI, SIKOLASTIKA
Entity Type:Individual
Prefix:
First Name:SIKOLASTIKA
Middle Name:
Last Name:GWEYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1357 CAYTON RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-9393
Mailing Address - Country:US
Mailing Address - Phone:859-283-2167
Mailing Address - Fax:
Practice Address - Street 1:1357 CAYTON RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-9393
Practice Address - Country:US
Practice Address - Phone:859-283-2167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN317447163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse