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STEPHEN GBEJULE ODAIBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 N EAGLE CREEK DR STE 500, LEXINGTON, KY 40509
(859) 263-3900
(859) 263-3757
Mailing address
120 N EAGLE CREEK DR STE 500, LEXINGTON, KY 40509-1827
(859) 263-3900
(859) 263-3757

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD-42794
IA
207WX0107X
Retina Specialist (Ophthalmology) Physician
36205
MS
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
52803
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0138707
OH
05
1174840920
WV
05
300025893
IN
05
7100596590
KY
Enumeration date
05/03/2010
Last updated
02/23/2026
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