Individual
OLADIPO A KUKOYI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(315) 384-7502
(315) 384-7901
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(315) 384-7502
(315) 384-7901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33791
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435495
—
IA
01
—
15687
WELLMARK BCBS
IA
Enumeration date
09/20/2005
Last updated
07/08/2007
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