Provider Demographics
NPI:1528774973
Name:ADURALERE, KEHINDE D
Entity type:Individual
Prefix:
First Name:KEHINDE
Middle Name:D
Last Name:ADURALERE
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 1:4915 DWARF HONEY SUCKLE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7701
Mailing Address - Country:US
Mailing Address - Phone:281-224-4935
Mailing Address - Fax:
Practice Address - Street 1:4915 DWARF HONEY SUCKLE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7701
Practice Address - Country:US
Practice Address - Phone:281-224-4935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WV0202XOther Service ProvidersContractorVehicle Modifications