Provider Demographics
NPI:1710426481
Name:KALU, CHINYERE JOY (LPN)
Entity Type:Individual
Prefix:
First Name:CHINYERE
Middle Name:JOY
Last Name:KALU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-2523
Mailing Address - Country:US
Mailing Address - Phone:347-356-0951
Mailing Address - Fax:718-647-2976
Practice Address - Street 1:110 MILLER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-2523
Practice Address - Country:US
Practice Address - Phone:347-356-0951
Practice Address - Fax:718-647-2976
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY327694164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse