Provider Demographics
NPI:1558916510
Name:KADIRI, TOLULOPE ADENIKE
Entity Type:Individual
Prefix:
First Name:TOLULOPE
Middle Name:ADENIKE
Last Name:KADIRI
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 1:2355 S BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-6303
Mailing Address - Country:US
Mailing Address - Phone:316-990-5476
Mailing Address - Fax:316-742-2100
Practice Address - Street 1:2355 S BEDFORD ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-6303
Practice Address - Country:US
Practice Address - Phone:316-990-5476
Practice Address - Fax:316-742-2100
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based