Elder, Mobolanle Asope

Elder, Mobolanle Asope is an individual health care provider with primary practice located at 360 Amsden Ave Ste 200 , Versailles KY 40383-1851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Elder, Mobolanle Asope can be contacted via phone (859) 873-3570.

Contact Information

Primary practice address
360 Amsden Ave Ste 200 Versailles KY 40383-1851
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56363 Kentucky

Profile Details

NPI number 1245896224
LBN Legal business name Elder, Mobolanle Asope
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2019
Last updated Mar 16th, 2023 - about 2 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 1245896224 NPPES
Kentucky MEDICAID 7100744080

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