Provider Demographics
NPI:1588185219
Name:FATUNA-KUYE, OLUWAFUNMILOLA (LVN)
Entity type:Individual
Prefix:MS
First Name:OLUWAFUNMILOLA
Middle Name:
Last Name:FATUNA-KUYE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19400 W BELLFORT ST APT 4116
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-8212
Mailing Address - Country:US
Mailing Address - Phone:832-406-1523
Mailing Address - Fax:
Practice Address - Street 1:19400 W BELLFORT ST APT 4116
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8212
Practice Address - Country:US
Practice Address - Phone:832-406-1523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300592164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse