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KELLY OKPAGU MD
NPI 1003662917
Student in an Organized Health Care Education/Training Program in Longview, TX

Active since April 30, 2024
700 E MARSHALL AVE, LONGVIEW, TX 75601(903) 315-2000 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Okpagu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY OKPAGU MD (NPI 1003662917) is an individual student in an organized health care education/training program in Longview, Texas, licensed in Texas (BP10088602) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1003662917
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKELLY OKPAGUCredential: MD
Location Address700 E MARSHALL AVELongview, TX 75601-5580
Mailing Address1516 Snow TrlLewisville, TX 75077-7543 · (682) 273-6510
Phone(903) 315-2000
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1003662917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10088602
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
700 E MARSHALL AVE, Longview, TX 75601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZEHRA HUSSAIN DO
Internal Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2000
JONATHAN J KRAL MD
Emergency Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2000
JENNIFER BORREGO
Nurse Practitioner
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-1488
VENKATA SANDEEP KORIPALLI M.D.,
Hospitalist
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-3588
JOHN ODNEAL MD
Hospitalist
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-5171
MATTHEW PORTER MD
Emergency Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2445
YASHASHREE A VEGI MD
Internal Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2000
GLADYS OGBONNA MD
Student in an Organized Health Care Education/Training Program
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 877-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Okpagu's NPI number?

The NPI number for Kelly Okpagu is 1003662917. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Kelly Okpagu located?

Kelly Okpagu practices at 700 E Marshall Ave, Longview, TX 75601. The listed phone number is (903) 315-2000.

What is Kelly Okpagu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Okpagu was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.