Individual
KINGSLEY IKENNA ONUOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1551 S SECOND ST, GALLUP, NM 87301-5881
(505) 863-7993
Mailing address
2800 MAIN STREET, DEPARTMENT OF MEDICINE, BRIDGEPORT, CT 06606-4201
(475) 210-5791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2024-1130
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
06/20/2025
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