Kenneth Unuovurhaye, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN288550 Issued in GA

Practice address

2073 Corners Circle Trce
Lithonia, GA 30058-7993

Phone

(404) 441-8139

NPI assigned

Dec 30, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1760021448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 CORNERS CIRCLE TRCE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 CORNERS CIRCLE TRCE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587993",
            "telephone_number": "404-441-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNUOVURHAYE",
        "first_name": "KENNETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN288550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Registered Nurse in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Community Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.