Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2018-00882 | NC |
Y | 2080P0208X | Pediatric Infectious Diseases | 2018-00882 | NC |
NPI | 1245597178 |
---|---|
Provider Name | Dr. Ibukunoluwa Christine Kalu |
First Address | Durham, NC 27705-4699 |
Second Address | Durham, NC 27705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2012 |
Last Update Date | 17/03/2021 |