Ajagunna, Adebukola

Ajagunna, Adebukola is an individual health care provider with primary practice located at 4235 Fort Campbell Blvd , Hopkinsville KY 42240-9339. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ajagunna, Adebukola can be contacted via phone (270) 885-8445.

Contact Information

Primary practice address
4235 Fort Campbell Blvd Hopkinsville KY 42240-9339
Phone: (270) 885-8445
Fax: (270) 886-9106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 60519 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56663 Kentucky

Profile Details

NPI number 1215468541
LBN Legal business name Ajagunna, Adebukola
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Aug 29th, 2022 - 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 1215468541 NPPES
Kentucky MEDICAID 7100816390

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