Healthcare Provider Details

I. General information

NPI: 1124557236
Provider Name (Legal Business Name): ABRAHAM ADIEMI ARMAH APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 03/07/2023
Certification Date: 12/27/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 ALEXANDRIA DR STE 5
LEXINGTON KY
40504-3100
US

IV. Provider business mailing address

101 RIDGEBROOK DR
NICHOLASVILLE KY
40356-2647
US

V. Phone/Fax

Practice location:
  • Phone: 859-684-8373
  • Fax:
Mailing address:
  • Phone: 513-289-8840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number3011374
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3011374
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: