Provider Demographics
NPI:1922599612
Name:AKPOIGBE, KESIENA JUDE
Entity Type:Individual
Prefix:
First Name:KESIENA
Middle Name:JUDE
Last Name:AKPOIGBE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 6TH AVE W
Mailing Address - Street 2:BOX 775
Mailing Address - City:SHAUNAVON
Mailing Address - State:SASKATCHEWAN
Mailing Address - Zip Code:S0N2M0
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE RM 14-106
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-1406
Practice Address - Fax:212-939-2263
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program