Provider Demographics
NPI:1942527775
Name:OJEMAKINDE, KUNLE (MD)
Entity Type:Individual
Prefix:
First Name:KUNLE
Middle Name:
Last Name:OJEMAKINDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 PORT ARTHUR TER
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-4656
Mailing Address - Country:US
Mailing Address - Phone:337-238-9133
Mailing Address - Fax:337-238-5311
Practice Address - Street 1:1112 PORT ARTHUR TER
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4656
Practice Address - Country:US
Practice Address - Phone:337-238-9133
Practice Address - Fax:337-238-5311
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.206190207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology