Kenneth Kenechukwu Okonkwo

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C7-0018508 Issued in DE

Practice address

640 S. State Street
Dover, DE 19901-3007

Phone

(302) 744-6999

NPI assigned

Apr 22, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1740035732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013007",
            "telephone_number": "302-744-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013007",
            "telephone_number": "302-744-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "KENNETH",
        "middle_name": "KENECHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C7-0018508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ofili
• Kikelomo Oluwakemi Ofori, RN
• Kemi Funlayo Ogunwusi, DNP, MSN, FNP-BC
• Ohio Advanced Imaging Medical, P.C.
• Amani Okonkwo
• Maureen Ogochukwu Okoroafor, OD
• Gloria C Okpah, MD
• Olive Branch Integrative Mental Wellness, LLC
• Modupe Oluya, MD
• One Transitional Care LLC

• Emergency Medicine Physician in Dover, DE
• Providers in Dover, DE by specialty
• Emergency Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.