Healthcare Provider Details

I. General information

NPI: 1861758443
Provider Name (Legal Business Name): KINGSLEY C OKAFOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2012
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 E FLORIDA AVE STE 720
DENVER CO
80210-2562
US

IV. Provider business mailing address

3801 E FLORIDA AVE STE 720
DENVER CO
80210-2562
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-1777
  • Fax: 303-320-1784
Mailing address:
  • Phone:
  • Fax: 303-320-1784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME128054
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number0059023
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberDR.0059023
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: