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OLUBUNMI ADEGBOYEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 EASTERN BYPASS, RICHMOND, KY 40476
(859) 625-3497
(859) 625-3307
Mailing address
1 MCBRIDE AND SON CENTER DR, STE 150, CHESTERFIELD, MO 63005-1425

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40714
KY
208M00000X
Hospitalist Physician
01083255A
IN
208M00000X
Hospitalist Physician
Primary
40714
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100002540
KY
01
P00397498
RAILROAD MEDICARE
Enumeration date
01/04/2007
Last updated
03/10/2020
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