Individual
DR. OZOEMENAM IMMANUEL UKETUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(620) 792-5742
Mailing address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(620) 792-5742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0428643
KS
207Q00000X
Family Medicine Physician
Primary
R6P76
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288780D
—
KS
05
—
203062153
—
MO
Enumeration date
03/07/2006
Last updated
03/07/2023
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