Individual
IKECHI KONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 S STATE ST, DOVER, DE 19901-6927
(302) 672-2319
(302) 672-2341
Mailing address
1275 S STATE ST, DOVER, DE 19901-6927
(302) 672-2319
(302) 672-2341
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
C1-0012159
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2014
Last updated
07/21/2022
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