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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EFEHI KELLY OGBOMO, M.D.

Deactivated

DR. EFEHI KELLY OGBOMO, M.D. is a Internal Medicine healthcare provider located in SPRINGFIELD, Missouri. NPI 1255956611 is deactivated in the NPPES registry. Verify at CMS.

Internal Medicine · SPRINGFIELD, MO

This NPI has been deactivated. The record was deactivated on January 18, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1255956611
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2020 (1.6054794520548 yrs)
Last Updated
Dec 16, 2024
Deactivated
Jan 18, 2022
License
2023026698 (MO)

Practice Information

Address
3801 S NATIONAL AVE STE 1122
SPRINGFIELD, MO, 658076090
Browse MO providers · Browse ZIP 65807
Phone
4172697728
Fax
4172697729
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in SPRINGFIELD, MO

Name Credential NPI
DR. JAMES L GODARD DO 1558366724
MS. DIANA LEE WOLFE M.D. 1477546539
MRS. OLEVIA M PITTS M.D. 1447244884
WILLIAM STEPHEN BODANSKE MD 1427039973
FREDERICK N LOBATI M.D. 1306823273
REGGIE L. GEORGE M.D. 1396723292
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.