Dr. Mark Ndugo Keigi
General Practice Physician
2821 Squirrel Dr
Bear
, Delaware 19701-2765
Dr. Mark Ndugo Keigi
General Practice Physician
2821 Squirrel Dr
Bear
, Delaware 19701-2765
(786) 328-9209
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Mark Ndugo Keigi
- 2821 Squirrel Dr
- Bear, DE
- Zip : 19701-2765
- Phone : (786) 328-9209
Second Address
- Dr. Mark Ndugo Keigi
- 2821 Squirrel Dr
- Bear, DE
- Zip : 19701-2765
- Phone : (786) 328-9209
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Is Dr. Mark Ndugo Keigi a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 2019034785 | MO |
National Provider Identifier
| NPI | 1043841620 |
|---|---|
| Provider Name | Dr. Mark Ndugo Keigi |
| First Address | Bear, DE 19701-2765 |
| Second Address | Bear, DE 19701-2765 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2020 |
| Last Update Date | 31/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2019304785 | ASSISTANT PHYSICIAN LICENSE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.