Individual
KAYODE IDOWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1810 4TH AVE APT 5, BALDWIN, WI 54002-5141
(715) 684-4655
Mailing address
631 WOODDUCK DR UNIT 1, WOODBURY, MN 55125-1489
(651) 233-4843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
193544-30
WI
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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