Individual provider · NPI-1
Olubunmi Adegboyega, MD
Hospitalist · Richmond, KY
NPI number1629125679
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1629125679
- Entity type
- Individual (NPI-1)
- Name
- Olubunmi Adegboyega
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 40714 | KY | Yes |
| 207R00000X | Internal Medicine | 40714 | KY | |
| 208M00000X | Hospitalist | 01083255A | IN |
Practice location
801 Eastern BypassRichmond, KY 40476
Phone 859-625-3497 · Fax 859-625-3307
Mailing address
1 Mcbride And Son Center DrSte 150
Chesterfield, MO 63005-1425
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