Individual
JIDEOFOR KENECHI NDULUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7888
Mailing address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036171512
IL
207Q00000X
Family Medicine Physician
036171512
IL
207Q00000X
Family Medicine Physician
Primary
2023034908
MO
Other
Enumeration date
04/03/2020
Last updated
03/10/2026
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