Individual provider · NPI-1

Omotomike Kuku

Nurse Practitioner, Family · Plano, TX

NPI number1467802249
StatusActive
Last updated in NPPESDec 27, 2023

Details

NPI
1467802249
Entity type
Individual (NPI-1)
Name
Omotomike Kuku
Sex
Female
Sole proprietor
No
Enumeration date
Jun 13, 2016
Certification date
Dec 27, 2023
Last updated
Dec 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP130751TXYes
163WG0000X Registered Nurse, General Practice791355TX

Practice location

850 Central Pkwy E Ste 275
Plano, TX 75074-5542

Phone 972-881-4688

Mailing address

8011 Rippling Stream Ln
Richmond, TX 77407-1427

Phone 832-287-8691

Other practice locations

8011 Rippling Stream Ln
Richmond, TX 77407-1427

Phone 832-287-8691

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