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Individual

DR. MODUPE OLUSEGUN KEHINDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1424 BADDOUR PKWY, SUITE H, LEBANON, TN 37087
(615) 444-8686
Mailing address
1424 BADDOUR PKWY, SUITE H, LEBANON, TN 37087
(615) 444-8686

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40614
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
40614
TN
207RP1001X
Pulmonary Disease Physician
Primary
40614
TN

Other

Enumeration date
11/16/2005
Last updated
02/18/2020
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