Provider Demographics
NPI:1376416271
Name:ABIOLA, KEHINDE KEHINDE
Entity type:Individual
Prefix:
First Name:KEHINDE
Middle Name:KEHINDE
Last Name:ABIOLA
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 1:700 54TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1626
Mailing Address - Country:US
Mailing Address - Phone:510-918-5197
Mailing Address - Fax:
Practice Address - Street 1:700 54TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1626
Practice Address - Country:US
Practice Address - Phone:510-918-5197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA003444303374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide