Individual
ADEDOYIN OKULATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3561
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 465-3561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60142
KY
208M00000X
Hospitalist Physician
60142
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2021
Last updated
12/20/2024
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