Individual
NDUBUEZE FIDELIS OKONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
(316) 321-2916
Mailing address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
(316) 321-2916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-39127
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
Enumeration date
07/02/2006
Last updated
10/19/2016
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