Provider Demographics
NPI:1285244350
Name:ADEDAYO, KEHINDE TEMILOLA (PMHNP)
Entity type:Individual
Prefix:
First Name:KEHINDE
Middle Name:TEMILOLA
Last Name:ADEDAYO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 GRANT RD APT 114
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4039
Mailing Address - Country:US
Mailing Address - Phone:682-521-3198
Mailing Address - Fax:
Practice Address - Street 1:11111 GRANT RD APT 114
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4039
Practice Address - Country:US
Practice Address - Phone:682-521-3198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018615363LP0808X
VA0024184207363LP0808X
TX1006416363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health