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Individual

ADETOLA A. OTESILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303
(270) 417-4700
(270) 417-4709
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
(270) 691-8026

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51553
KY
208M00000X
Hospitalist Physician
Primary
01083034A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100552190
KY
Enumeration date
06/23/2015
Last updated
07/01/2020
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