Individual
SAMUEL OMOTOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2148
(859) 323-0295
(859) 323-1256
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.120322
OH
207RC0000X
Cardiovascular Disease Physician
35.120322
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
35.120322
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
60697
KY
282NC0060X
Critical Access Hospital
35.120322
OH
Other
Enumeration date
09/07/2013
Last updated
06/26/2025
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