Idongesit Ukpong
Idongesit Ukpong is a Student in an Organized Health Care Education/Training Program in Kronenwetter, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2507 Forest Grove AveKronenwetter, WI 54455-8007
Phone: (715) 212-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1295468395 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 6, 2022 |
| Last updated in NPPES | July 6, 2022 |
| Certification date | July 6, 2022 |
| Mailing address | 2507 Forest Grove Ave, Kronenwetter, WI 54455-8007 |