Provider Demographics
NPI:1659724540
Name:KONNEH, NYAKEH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NYAKEH
Middle Name:
Last Name:KONNEH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935B GLENDALE LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4258
Mailing Address - Country:US
Mailing Address - Phone:404-644-9429
Mailing Address - Fax:
Practice Address - Street 1:1128 FORT CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-6450
Practice Address - Country:US
Practice Address - Phone:931-905-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist