Individual
DR. ADEWALE KABIR ADEGBENRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 376-9626
(315) 376-5444
Mailing address
6417 PHANTOM MOON WALK, CLARKSVILLE, MD 21029-1283
(804) 624-0360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
332697
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
86144
WI
Other
Enumeration date
09/09/2024
Last updated
12/15/2025
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