Individual
JOSEPHINE OLUTOLA IBIRONKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5525
Mailing address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2041DT
KY
152W00000X
Optometrist
TA1877
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405879800
—
MD
Enumeration date
05/25/2006
Last updated
07/20/2022
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