Doctor Name: | KWAMBA E. NKEMBE |
NPI Number: | 1588806244 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101252583 |
Business Practice Address: | 324 T B Stanley Hwy Bassett, VA - 240556108 |
Business Phone Number: | 2766291076 |
Business Fax Number: | 2766292695 |
Mailing Address: | 324 T B Stanley Hwy, BASSETT |
State: | VA |
Postal Code: | 240556108 |
Phone Number: | 2766291076 |
Fax Number: | 2766292695 |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101252583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |