Nwagbara, Kenechukwu
Nwagbara, Kenechukwu is an individual health care provider with primary practice located at 907 E Lamar Alexander Pkwy Ste 162 , Maryville TN 37804-5015. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Nwagbara, Kenechukwu can be contacted via phone (865) 238-6161.Contact Information
Primary practice address
907 E Lamar Alexander Pkwy Ste 162
Maryville TN 37804-5015
Phone: (865) 238-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2018023739 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 74653 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 74653 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036177610 | Illinois |
Profile Details
| NPI number | 1366837239 |
|---|---|
| LBN Legal business name | Nwagbara, Kenechukwu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2015 |
| Last updated | Sep 28th, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366837239 | NPPES |
| Tennessee | MEDICAID | Q103955 |
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