Provider Demographics
NPI:1588309371
Name:KUI MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:KUI MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:IWUJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-754-9810
Mailing Address - Street 1:PO BOX 64454
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79464-4454
Mailing Address - Country:US
Mailing Address - Phone:972-754-9810
Mailing Address - Fax:
Practice Address - Street 1:4005 136TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2741
Practice Address - Country:US
Practice Address - Phone:972-754-9810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty