Individual
KENNETH NUKUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 CONTINENTAL DR, SUITE 406, NEWARK, DE 19713-4306
(302) 368-2630
(302) 368-1271
Mailing address
4755 OGLETOWN STANTON RD, STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10007323
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932189123
—
DE
Enumeration date
01/23/2006
Last updated
01/30/2020
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