Provider Demographics
NPI:1982584181
Name:OBIORAH, KEILAH CHIMAMANDA
Entity type:Individual
Prefix:MRS
First Name:KEILAH
Middle Name:CHIMAMANDA
Last Name:OBIORAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5883 FERNLANE DR
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44319-4825
Mailing Address - Country:US
Mailing Address - Phone:805-431-1131
Mailing Address - Fax:
Practice Address - Street 1:5883 FERNLANE DR
Practice Address - Street 2:
Practice Address - City:NEW FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:44319-4825
Practice Address - Country:US
Practice Address - Phone:805-431-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty