IndividualActive
Komi Kpogli, RN
NPI 1700169117 · Gerontology Clinical Nurse Specialist · Pickerington, OH
Provider details
- NPI number
- 1700169117
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 316816 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
124 Urich Dr
Pickerington, OH 43147-7833
Phone: (859) 457-0032
Approximate (ZIP-level) locationGet directions
Mailing address
124 Urich Dr
Pickerington, OH 43147-7833
Registry dates
- Enumerated
- 2011-09-21
- Last updated
- 2017-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.