NPI Code Detail JSON Logo

1184449365 NPI number — KINGSLEY CHIBUEZE ANOKWURU

NPI Number: 1184449365
Health Care Provider/Practitioner: KINGSLEY CHIBUEZE ANOKWURU

Information about “1184449365” NPI (KINGSLEY CHIBUEZE ANOKWURU) exists in 1184449365 in HTML format HTML  |  1184449365 in plain Text format TXT  |  1184449365 in PDF (Portable Document Format) PDF  |  1184449365 in an XML format XML  formats.

NPI Number : 1184449365 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184449365",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANOKWURU",
    "FirstName": "KINGSLEY",
    "MiddleName": "CHIBUEZE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8011 PARK HAVEN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DUNDALK",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21222-3461",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-325-2116",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2710 W MANCHESTER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INGLEWOOD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90305-2436",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-778-4310",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2024",
    "LastUpdateDate": "06/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA65884",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.