Individual
KAYODE A OLOWOMEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2295 BRICKYARD RD, CANANDAIGUA, NY 14424-7977
(716) 450-4161
Mailing address
2295 BRICKYARD RD, CANANDAIGUA, NY 14424-7977
(716) 450-4161
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461295824
N/A
TX
Enumeration date
04/28/2019
Last updated
04/28/2019
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