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Kiesha M. Onyeneho, MD

Family Medicine in Lisbon, ND. Individual provider (NPI-1).

NPI number1669979449
StatusActive
Last updated in NPPESJul 17, 2024

Details

NPI
1669979449
Entity type
Individual (NPI-1)
Name
Kiesha M. Onyeneho
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2018
Certification date
Jul 17, 2024
Last updated
Jul 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine69236MNYes
390200000X Student in an Organized Health Care Education/Training Program––

Other names

  • Kiesha Bullock (Former Name)

Practice location

905 Main St
Lisbon, ND 58054-4334

Phone 701-683-6400

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Phone 701-736-4180

Other practice locations

801 Belsly Blvd
Moorhead, MN 56560-5055

Phone 218-364-6800

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Other Family Medicine Physician providers in Lisbon, ND

All 7 Family Medicine Physician providers in Lisbon · All 87 providers in Lisbon

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