Olatumininu Ayinke Kilo
Individual provider Active NPI Registered Nurse · Shepherdstown, WV
NPI 1073330320 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1073330320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R235166 (MD)
- Practice address
- 301 North King Street
Shepherdstown, WV 25443 - Phone
- (304) 876-5000
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R235166 | MD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R235166 | MD | Yes |
Addresses
Primary practice location
301 North King Street
Shepherdstown, WV 25443
Mailing address
8121 Pennington Dr
Laurel, MD 20724-6120
Phone (443) 421-0186
Other practice location 1
8121 Pennington Dr
Laurel, MD 20724-6120
Phone (443) 421-0186
Other providers in Shepherdstown, WV
- Johnston Neuromuscular Therapies and Bodywork
- Tabitha Marie Jones-Wohleber
- Joshua Sorie Kamara
- Jamie Lee Kelley
- Jeffrey D Kellogg
- Sarah Knipe
- Sandra Leigh Knoerlein
- Angela Kursey
- Courtney Lanehart
- Cynthia Joan Learn
All providers in Shepherdstown, WV · Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.