Provider Demographics
NPI:1194225169
Name:OBIANKE, KEHINDE TOYIN
Entity Type:Individual
Prefix:
First Name:KEHINDE
Middle Name:TOYIN
Last Name:OBIANKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 FALLON DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-1210
Mailing Address - Country:US
Mailing Address - Phone:469-237-1702
Mailing Address - Fax:
Practice Address - Street 1:15214 FOREST HAVEN LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6886
Practice Address - Country:US
Practice Address - Phone:919-995-4149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX917519163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse