Individual
DR. KENNETH OGHALE OSIEZAGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 OAK DR S STE 102, LAKE JACKSON, TX 77566-5626
(979) 266-9776
(850) 220-1523
Mailing address
201 OAK DR S STE 102, LAKE JACKSON, TX 77566-5626
(979) 266-9776
(850) 220-1523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14085
ND
2084P0800X
Psychiatry Physician
S1672
TX
Other
Enumeration date
07/20/2012
Last updated
01/07/2025
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