Search › Minnesota › 343900000X
Kenyi Okucu
NPI 1861975765 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1490 148th Ave Nw
Andover, MN 55304 - Phone
- (612) 401-8145
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 172A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota