Elom U Kouko

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN509660 Issued in OH

Practice address

784 Kenilworth LN Unit 101
Westerville, OH 43082-7561

Phone

(614) 973-9431

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 2023By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1891576047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 KENILWORTH LN UNIT 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827561",
            "telephone_number": "614-973-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 KENILWORTH LN UNIT 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827561",
            "telephone_number": "614-973-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUKO",
        "first_name": "ELOM",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN509660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Jeffrey Koppert, LPCC
• Jeffrey Adam Korn, D.C.
• Sarah Korn
• Sallieu Koroma
• Alie Marie Kothman, MS, BCBA, COBA
• Carli J Kovach Romero, NP-C
• Ann R Koval, M.D.
• Colin Michael Kovinchick
• Bernadette Makula Kpaka
• Casey Kraft, M.D.

• Registered Nurse in Westerville, OH
• Providers in Westerville, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.