Catherine Konge Akama-Dibo

Individual provider Active NPI Licensed Practical Nurse · Cincinnati, OH

NPI 1508007543 · NPPES record last updated Mar 22, 2009

Key facts

NPI
1508007543
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN130676 (OH)
Practice address
12171 Huntergreen Dr
Cincinnati, OH 45251-1242
Phone
(513) 851-7169
NPI assigned
Mar 22, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN130676OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN130676 OH Yes

Addresses

Primary practice location

12171 Huntergreen Dr
Cincinnati, OH 45251-1242

Mailing address

12171 Huntergreen Dr
Cincinnati, OH 45251-1242
Phone (513) 851-7169

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.