Provider Demographics
NPI:1174208235
Name:KENSUOE PLC
Entity type:Organization
Organization Name:KENSUOE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SENU-OKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-273-0406
Mailing Address - Street 1:7744 BALLA CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-6342
Mailing Address - Country:US
Mailing Address - Phone:513-348-6273
Mailing Address - Fax:
Practice Address - Street 1:3900 WESTERRE PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1478
Practice Address - Country:US
Practice Address - Phone:804-273-0406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty