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NPI Code Detail

MEDICARE: KIANA J NWACHUKWU

MEDICARE: KIANA J NWACHUKWU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS045228PA

General Provider Information

NPI Number : 1821883364
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIANA J NWACHUKWU
Provider Business Mailing Address
First Line : 6100 N 5TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19120-1423
Country : US
Telephone Number : 835-342-5336
Fax Number :
Provider Business Practice Location Address
First Line : 6100 N 5TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19120-1423
Country : US
Telephone Number : 835-342-5336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2025
Last Update Date : 01/22/2026

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Directions to “ KIANA J NWACHUKWU ” Practice Location

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