Individual
ABIODUN O KUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-3237
(318) 428-6180
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-3237
(318) 428-6180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12964R
LA
208000000X
Pediatrics Physician
Primary
E3852
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1559628
—
LA
Enumeration date
04/26/2006
Last updated
04/10/2008
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