Individual
MR. KAYODE ZACCHAEUS OLUWAYOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1602 RIDGEMONT DR, WICHITA FALLS, TX 76309-1505
(940) 222-0448
Mailing address
1602 RIDGEMONT DR, WICHITA FALLS, TX 76309-1505
(940) 222-0448
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021029253
TX
Other
Enumeration date
10/27/2021
Last updated
06/11/2023
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