Fakunle, Omolara O

Fakunle, Omolara O is an individual health care provider with primary practice located at 6400 Dutchmans Pkwy Ste 345 , Louisville KY 40205-3370. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Fakunle, Omolara O can be contacted via phone (502) 587-6010.

Contact Information

Primary practice address
6400 Dutchmans Pkwy Ste 345 Louisville KY 40205-3370
Phone: (502) 587-6010
Fax: (502) 587-1314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 34516 Kentucky

Profile Details

NPI number 1780625129
LBN Legal business name Fakunle, Omolara O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jan 23rd, 2019 - about 5 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 1780625129 NPPES
Kentucky MEDICAID 64017924

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