Provider Demographics
NPI:1518545425
Name:UJU, KELECHI JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:KELECHI
Middle Name:JOSEPH
Last Name:UJU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KELECHI
Other - Middle Name:JOSEPH
Other - Last Name:UJU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:851 FIELDS DR APT 422B
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5362
Mailing Address - Country:US
Mailing Address - Phone:270-438-9106
Mailing Address - Fax:
Practice Address - Street 1:250 PARK ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1760
Practice Address - Country:US
Practice Address - Phone:270-780-2680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program