Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH IGWACHO
Active Sole ProprietorKENNETH IGWACHO is a Registered Nurse healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1285395806 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1285395806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2022 (4.5752869416348 yrs)
- Last Updated
- Jan 5, 2022
- License
-
2491231 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3515 CENTURY AVE N APT 201BWHITE BEAR LAKE, MN, 551105667Browse MN providers · Browse ZIP 55110
- Phone
- 6514247922
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE COLESTOCK | RN | 1386187615 |
| EVELYN JESSIE ACOSTA | RN, PHN | 1881107274 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.