Provider Demographics
NPI:1669277554
Name:SOWEMIMO, OLAYEMI (DC)
Entity type:Individual
Prefix:
First Name:OLAYEMI
Middle Name:
Last Name:SOWEMIMO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6945 PASEO BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-3113
Mailing Address - Country:US
Mailing Address - Phone:816-447-4173
Mailing Address - Fax:
Practice Address - Street 1:6945 PASEO BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-3113
Practice Address - Country:US
Practice Address - Phone:816-447-4173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024049496111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor