Individual
KENNETH KENECHUKWU OKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 S. STATE STREET, DOVER, DE 19901-3007
(302) 744-6999
Mailing address
640 S. STATE STREET, DOVER, DE 19901-3007
(302) 744-6999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C7-0018508
DE
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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