Individual
KENNETH AZUKA OKPOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6025 WALNUT GROVE RD, SUITE 508, MEMPHIS, TN 38120-2131
(901) 767-5864
(901) 767-6591
Mailing address
6025 WALNUT GROVE RD, SUITE 508, MEMPHIS, TN 38120-2131
(901) 767-5864
(901) 767-6591
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
37282
TN
207RP1001X
Pulmonary Disease Physician
Primary
37282
TN
Other
Enumeration date
06/16/2006
Last updated
11/08/2011
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