Izuora, Kenneth Ejikeme
Izuora, Kenneth Ejikeme is an individual health care provider with primary practice located at 1707 W Charleston Blvd Ste 290 , Las Vegas NV 89102-2353. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Izuora, Kenneth Ejikeme can be contacted via phone (702) 671-5070.Contact Information
Primary practice address
1707 W Charleston Blvd Ste 290
Las Vegas NV 89102-2353
Phone: (702) 671-5070
Fax: (702) 671-5198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 061267 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50418-020 | Wisconsin |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 13512 | Nevada |
Profile Details
| NPI number | 1023167525 |
|---|---|
| LBN Legal business name | Izuora, Kenneth Ejikeme |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | May 28th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023167525 | NPPES |
| Nevada | MEDICAID | 100500484GROUP |
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