Individual
OLUWOLE JOHN ABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 W 5TH ST, LONDON, KY 40741-2112
(606) 864-4040
(606) 864-3500
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7840
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36997
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
36997
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227463
BLUE CROSS BLUE SHIELD
KY
01
—
000000584952
BCBS-CUMBERLAND CLINIC
KY
05
—
010016193
—
VA
01
—
10801904
CAQH
—
01
—
1196138
CHA
KY
01
—
50005786
PASPORT HEALTH PLAN
KY
05
—
64047483
—
KY
01
—
859456
USA MANAGED CARE
—
01
—
C04236
CHI-PRIMARY CARE NUMBER
KY
01
—
C211117
CHI
KY
01
—
P11201719
MULTIPLAN
—
Enumeration date
03/14/2006
Last updated
07/19/2019
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