Provider Demographics
NPI:1285956474
Name:OFORI, KIKELOMO OLUWAKEMI (RN)
Entity type:Individual
Prefix:MRS
First Name:KIKELOMO
Middle Name:OLUWAKEMI
Last Name:OFORI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KIKELOMO
Other - Middle Name:OLUWAKEMI
Other - Last Name:OLOWOFELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1700 N DUPONT HWY APT H204
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-2224
Mailing Address - Country:US
Mailing Address - Phone:302-747-7004
Mailing Address - Fax:
Practice Address - Street 1:1700 N DUPONT HWY APT H204
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-2224
Practice Address - Country:US
Practice Address - Phone:302-747-7004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0038283163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse