Individual
DR. KINGSTON OKRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 W 9TH AVE, STE. 310, OSHKOSH, WI 54904-7247
(920) 223-3550
Mailing address
2700 W 9TH AVE, STE. 310, OSHKOSH, WI 54904-7247
(920) 223-3550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63918
WI
207RI0011X
Interventional Cardiology Physician
Primary
63918-20
WI
208M00000X
Hospitalist Physician
37942
IA
Other
Enumeration date
07/11/2008
Last updated
12/08/2015
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