Provider Demographics
NPI:1124268628
Name:KYEI, PAUL
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:KYEI
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 1:6192 SPRING LAKE DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8186
Mailing Address - Country:US
Mailing Address - Phone:513-889-2779
Mailing Address - Fax:
Practice Address - Street 1:6192 SPRING LAKE DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-8186
Practice Address - Country:US
Practice Address - Phone:513-889-2779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 345925163W00000X
OHRN 345925163W00000X
OHCNP023170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse