Igbalode, Kenneth Y

Igbalode, Kenneth Y is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 500 , Renton WA 98055-5782. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Igbalode, Kenneth Y can be contacted via phone (425) 690-3482.

Contact Information

Primary practice address
4011 Talbot Rd S Ste 500 Renton WA 98055-5782
Phone: (425) 690-3482
Fax: (425) 690-9082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L-255187 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD61041046 Washington

Profile Details

NPI number 1235577883
LBN Legal business name Igbalode, Kenneth Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Aug 4th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235577883 NPPES
Washington MEDICAID 2160257

Popular Providers