Provider Demographics
NPI:1124557236
Name:ARMAH, ABRAHAM ADIEMI (APRN)
Entity Type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:ADIEMI
Last Name:ARMAH
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 RIDGEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2647
Mailing Address - Country:US
Mailing Address - Phone:513-289-8840
Mailing Address - Fax:
Practice Address - Street 1:1750 ALEXANDRIA DR STE 5
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3100
Practice Address - Country:US
Practice Address - Phone:859-684-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011374363L00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3011374OtherKBN
KY3011374OtherKBN