Provider Demographics
NPI:1861758443
Name:OKAFOR, KINGSLEY C (MD)
Entity type:Individual
Prefix:DR
First Name:KINGSLEY
Middle Name:C
Last Name:OKAFOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 E FLORIDA AVE STE 720
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2562
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:303-320-1784
Practice Address - Street 1:3801 E FLORIDA AVE STE 720
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2562
Practice Address - Country:US
Practice Address - Phone:303-320-1777
Practice Address - Fax:303-320-1784
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-08
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128054207W00000X
CO0059023207WX0009X
390200000X
CODR.0059023207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO028103OtherKAISER COMMERCIAL NUMBER