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Individual

DR. ADETOKUNBO OLUKOREDE OMORUYI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
601 S FLOYD ST, STE 403, LOUISVILLE, KY 40202-1837
(502) 588-3400
(502) 588-3401
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-3400
(502) 588-3401

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42024
KY
2080P0205X
Pediatric Endocrinology Physician
35.086930
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
42024
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200919290
IN
05
7100062650
KY
Enumeration date
04/18/2007
Last updated
09/09/2014
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