Provider Demographics
NPI:1699381046
Name:NWAGBARA, CHIKERE (HHA)
Entity Type:Individual
Prefix:
First Name:CHIKERE
Middle Name:
Last Name:NWAGBARA
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6604 E 100TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-1514
Mailing Address - Country:US
Mailing Address - Phone:314-629-2750
Mailing Address - Fax:816-737-3090
Practice Address - Street 1:6604 E 100TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-1514
Practice Address - Country:US
Practice Address - Phone:314-629-2750
Practice Address - Fax:816-737-3090
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide