Individual
KAYODE AYODABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 N 39TH ST, MILWAUKEE, WI 53209-3508
(414) 243-2968
Mailing address
6060 N 39TH ST, MILWAUKEE, WI 53209-3508
(414) 243-2968
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
0020935
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020936
—
WI
Enumeration date
03/23/2026
Last updated
03/23/2026
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