Provider Demographics
NPI:1760004832
Name:ABIOYE, KEHINDE BOLAJOKO
Entity Type:Individual
Prefix:
First Name:KEHINDE
Middle Name:BOLAJOKO
Last Name:ABIOYE
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 1:10420 LITTLE PATUXENT PKWY STE 250
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3638
Mailing Address - Country:US
Mailing Address - Phone:410-740-2370
Mailing Address - Fax:410-740-1518
Practice Address - Street 1:10420 LITTLE PATUXENT PKWY STE 250
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3638
Practice Address - Country:US
Practice Address - Phone:410-740-2370
Practice Address - Fax:410-740-1518
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist