Abode-Iyamah, Kingsley Otsioren

Abode-Iyamah, Kingsley Otsioren is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Abode-Iyamah, Kingsley Otsioren can be contacted via phone (904) 953-2000.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224
Phone: (904) 953-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X R9287 Iowa
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME135498 Florida

Profile Details

NPI number 1578859484
LBN Legal business name Abode-Iyamah, Kingsley Otsioren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated Sep 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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