Individual
KENNEDY KELECHI OKERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 ROBERTS ST, SAVANNAH, GA 31408-3524
(912) 527-1000
(912) 527-1002
Mailing address
2 ROBERTS ST, SAVANNAH, GA 31408-3524
(912) 527-1000
(912) 527-1002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050331
GA
207Q00000X
Family Medicine Physician
22251
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000923062C
—
GA
05
—
000923062D
—
GA
05
—
000923062G
—
GA
05
—
000923062H
—
GA
05
—
000923062I
—
GA
05
—
G50331
—
SC
01
—
P00187351
RAILROAD MEDICARE
GA
01
—
P00394400
RAILROAD MEDICARE
GA
01
—
P01106400
RAILROAD MEDICARE
GA
Enumeration date
04/20/2006
Last updated
02/14/2020
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