Agbola, Victoria Olufunmilola

Agbola, Victoria Olufunmilola is an individual health care provider with primary practice located at 2406 W Broadway , Louisville KY 40211-1008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Agbola, Victoria Olufunmilola can be contacted via phone (502) 775-1211.

Contact Information

Primary practice address
2406 W Broadway Louisville KY 40211-1008
Phone: (502) 775-1211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3008171 Kentucky

Profile Details

NPI number 1225479637
LBN Legal business name Agbola, Victoria Olufunmilola
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2013
Last updated May 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225479637 NPPES
Kentucky MEDICAID 7100263330

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