Organization
TKO VENTURES LLC
Active
Other names
TKO Vitality Health
Organization subpart
No
Provider details
NPI number
Authorized official
KEHINDE OLATUNJI FNP-C, PMHNP-BC (OWNER/PROVIDER)
(443) 226-1023
Entity
Organization
Contact information
Practice address
97 CAPITAL CT APT 1114, UPPER MARLBORO, MD 20774-1081
(443) 226-1023
Mailing address
97 CAPITAL CT APT 1114, UPPER MARLBORO, MD 20774-1081
(443) 226-1023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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