Provider Demographics
NPI:1710121462
Name:OPPONG, FELIX AMEYAW (LPN)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:AMEYAW
Last Name:OPPONG
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2896 POOLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-4663
Mailing Address - Country:US
Mailing Address - Phone:614-476-6629
Mailing Address - Fax:
Practice Address - Street 1:2896 POOLSIDE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4663
Practice Address - Country:US
Practice Address - Phone:614-476-6629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-133148164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse