Individual
MOBOLANLE ASOPE ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
196 BEVINS LN STE F, GEORGETOWN, KY 40324-8534
(502) 863-2818
(502) 863-2764
Mailing address
196 BEVINS LN STE F, GEORGETOWN, KY 40324-8534
(502) 863-2818
(502) 863-2764
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100744080
—
KY
Enumeration date
05/15/2019
Last updated
01/28/2026
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