Individual
OGEDI OMENYINMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2807 VALHALLA CT, LOUISVILLE, KY 40242-2402
(502) 442-6877
Mailing address
2807 VALHALLA CT, LOUISVILLE, KY 40242-2402
(502) 442-6877
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
4198
KY
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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