Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 036.140280 | IL |
N | 2086S0120X | Pediatric Surgery | 0437019 | KS |
Y | 2086S0120X | Pediatric Surgery | 2014004831 | MO |
NPI | 1376773150 |
---|---|
Provider Name | Dr. Tolulope Abiodun Oyetunji |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2009 |
Last Update Date | 05/01/2017 |