Individual provider · Type 1 NPI

Kelly Okpagu, MD

Student in an Organized Health Care Education/Training Program · Longview, TX

NPI number 1003662917 Active

Practice location

700 E Marshall Ave
Longview, TX 75601-5580

Call (903) 315-2000 Map

Mailing address

1516 Snow Trl
Lewisville, TX 75077-7543

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10088602 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003662917

Kelly Okpagu, MD's National Provider Identifier is 1003662917, issued on Apr 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longview, TX. The record was last updated on Apr 30, 2024.