Provider Demographics
NPI:1760237945
Name:OKOYE, KENECHUKWU MICHAEL
Entity Type:Individual
Prefix:DR
First Name:KENECHUKWU
Middle Name:MICHAEL
Last Name:OKOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 CHAMBERS RD APT 102A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1714
Mailing Address - Country:US
Mailing Address - Phone:202-365-1465
Mailing Address - Fax:
Practice Address - Street 1:1180 CHAMBERS RD APT 102A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-1714
Practice Address - Country:US
Practice Address - Phone:120-236-5146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program