Individual
DR. OLUGBENGA O OSUNSANMI
Active
Individual
DR. OLUGBENGA O OSUNSANMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02151
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140812
BLUE CROSS BLUE SHIELD
KS
01
—
14274
PHS
KS
05
—
200298830A
—
KS
01
—
203667
HPK
KS
01
—
P00237367
RR MEDICARE
KS
Enumeration date
05/01/2006
Last updated
11/05/2019
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