Provider Demographics
NPI:1750521159
Name:AKINWOLE, ADEKUNLE AKINYELE
Entity type:Individual
Prefix:MR
First Name:ADEKUNLE
Middle Name:AKINYELE
Last Name:AKINWOLE
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 1:905 PIN OAK LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4534
Mailing Address - Country:US
Mailing Address - Phone:469-667-4307
Mailing Address - Fax:214-383-7961
Practice Address - Street 1:905 PIN OAK LN
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4534
Practice Address - Country:US
Practice Address - Phone:469-667-4307
Practice Address - Fax:214-383-7961
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator