Individual
DR. BANKOLE O BOTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
289 IRELAND AVE, BLDG. 851 WTC UNIT, FORT KNOX, KY 40121-5111
(502) 624-9844
(502) 624-9578
Mailing address
289 IRELAND AVE, BLDG. 851 WTC UNIT, FORT KNOX, KY 40121-5111
(502) 624-9844
(502) 624-9578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33272
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64034242
—
KY
Enumeration date
05/10/2006
Last updated
03/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us