Kayode M Balogun
General Practice Physician
916 Olive St
Saint Louis
, Missouri 63101-1400
Kayode M Balogun
General Practice Physician
916 Olive St
Saint Louis
, Missouri 63101-1400
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Kayode M Balogun
- 916 Olive St
- Saint Louis, MO
- Zip : 63101-1400
- Phone :
Second Address
- Kayode M Balogun
- 916 Olive St
- Saint Louis, MO
- Zip : 63101-1400
- Phone : (636) 253-3000
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Is Kayode M Balogun a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 2019014740 | MO |
National Provider Identifier
| NPI | 1033759089 |
|---|---|
| Provider Name | Kayode M Balogun |
| First Address | Saint Louis, MO 63101-1400 |
| Second Address | Saint Louis, MO 63101-1400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2020 |
| Last Update Date | 16/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.