| Kui Medical Services Pllc | |
|
4005 136th St Lubbock TX 79423-2741 | |
| (972) 754-9810 | |
| Not Available |
| Full Name | Kui Medical Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4005 136th St, Lubbock, Texas |
| Authorized Official Name and Position | Kenneth Iwuji (OWNER) |
| Authorized Official Contact | 9727549810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kui Medical Services Pllc Po Box 64454 Lubbock TX 79464-4454 Ph: (972) 754-9810 | Kui Medical Services Pllc 4005 136th St Lubbock TX 79423-2741 Ph: (972) 754-9810 |
| NPI Number | 1588309371 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 7618358623 |
|---|---|
| Medicare Enrollment ID | O20220722000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588309371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth Iwuji |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477908903 PECOS PAC ID: 5597057299 Enrollment ID: I20190205000242 |
| Provider Name | Gabrielle Estelle Beyidi Noah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245944305 PECOS PAC ID: 0749652253 Enrollment ID: I20230209002432 |
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