# KENNETH LATOKUNBO SOYEMI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467664946
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 036-093800 | IL | — |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | 036093800 | IL | — |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | 36949 | IA | — |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | 52154 | CA | — |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | 93783 | FL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 036-093800 | IL | Yes |
| 208D00000X | General Practice Physician | 036093800 | IL | — |
| 208D00000X | General Practice Physician | 36949 | IA | — |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 04/30/2021