Provider Demographics
NPI:1467912451
Name:NNOROMELE, CHINENYE CHRISTA (MD)
Entity type:Individual
Prefix:
First Name:CHINENYE
Middle Name:CHRISTA
Last Name:NNOROMELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 ABRAHAM FLEXNER WAY SUITE 505
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-588-2160
Mailing Address - Fax:502-588-2161
Practice Address - Street 1:225 ABRAHAM FLEXNER WAY SUITE 505
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-588-2160
Practice Address - Fax:502-588-2161
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1647102081P0004X
390200000X
KY589492081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYKY58949Medicaid