Provider Demographics
NPI:1891929436
Name:MONPLAISIR, KENECHUKWU UCHENNA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KENECHUKWU
Middle Name:UCHENNA
Last Name:MONPLAISIR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27100 LANDMARK DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48134-9070
Mailing Address - Country:US
Mailing Address - Phone:734-552-6533
Mailing Address - Fax:
Practice Address - Street 1:4016 OAKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:MELVINDALE
Practice Address - State:MI
Practice Address - Zip Code:48122-1406
Practice Address - Country:US
Practice Address - Phone:313-386-8345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist