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NPI 1700768074

NPI 1700768074 : KEVI MD DIGESTIVE DISEASE & WELLNESS ASSOCIATES PLLC : ABILENE, TX

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General NPI Number Information
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    NPI Number           |    1700768074
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    Entity Type          |    Organization 
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    Legal Business Name  |    KEVI MD DIGESTIVE DISEASE & WELLNESS ASSOCIATES PLLC 
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Dates
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    Enumeration Date     |    07/25/2025
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    Last Update Date     |    07/25/2025
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Provider Practice Location Address
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    Address Line         |    2650 INDUSTRIAL BLVD 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79605-7211
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    Country              |    US
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    Telephone            |    706-280-0723
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    218 ANGIE LN 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79602-1258
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    Country              |    US
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    Telephone            |    706-280-0723
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PHYSICIAN
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    Name                 |    DR. CHUKWUEMEKA  EZEOKE 
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    Credential           |    MD
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    Telephone            |    325-695-4133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    
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    License Number State |    
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