Provider Demographics
NPI:1063050995
Name:AKWITTI, RICHMOND ONYEKACHI
Entity type:Individual
Prefix:
First Name:RICHMOND
Middle Name:ONYEKACHI
Last Name:AKWITTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 LANDSHIRE VIEW LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8890
Mailing Address - Country:US
Mailing Address - Phone:919-210-1588
Mailing Address - Fax:
Practice Address - Street 1:3710 LANDSHIRE VIEW LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-8890
Practice Address - Country:US
Practice Address - Phone:919-210-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC5244253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care