Individual
FOLARANMI AJIBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6690
(270) 825-7266
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6690
(270) 825-7266
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5422
KY
207Q00000X
Family Medicine Physician
57034
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100785630
—
KY
Enumeration date
04/07/2020
Last updated
11/14/2023
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