Healthcare Provider Details

I. General information

NPI: 1174454896
Provider Name (Legal Business Name): DR. KINGSLEY ONYEKACHUKWU OZOJIDE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCHEALTH PARKVIEW MEDICAL CENTER, ADULT MEDICINE CLINIC 311 W. 14TH STREET
PUEBLO CO
81003
US

IV. Provider business mailing address

UCHEALTH PARKVIEW MEDICAL CENTER, GRADUATE MEDICAL EDUC 400 W. 16TH STREET
PUEBLO CO
81003
US

V. Phone/Fax

Practice location:
  • Phone: 719-595-7585
  • Fax: 719-595-7589
Mailing address:
  • Phone: 719-595-7585
  • Fax: 719-595-7589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: