Individual
KENNETH IWUJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH STREET STOP 9410, LUBBOCK, TX 79430-3419
(806) 743-7337
Mailing address
3601 4TH STREET, STOP 9410, LUBBOCK, TX 79430-3419
(806) 743-7337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R9225
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R9225
TX
282NC0060X
Critical Access Hospital
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Other
Enumeration date
05/03/2016
Last updated
07/08/2022
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