MR. KEHINDE ADEKOYEJO AKINFENWA (NPI# 1073670469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073670469 |
| Entity Type | Individual |
| Full Name | MR. KEHINDE ADEKOYEJO AKINFENWA |
| Credential | LPT |
| Practice Address |
1006 Dickerson Dr Jasper TX 75951-5111 |
| Practice Telephone | 4093835200 |
| Practice Fax Number | 4093835202 |
| Mailing Telephone | 4093835200 |
| Mailing Fax Number | 4093835202 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1144418 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1006 DICKERSON DR |
| City | JASPER |
| State | TX |
| Zip Code | 75951-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184641102 | Dailey & Wilkerson Medical Group | Physical Therapist | 1006 Dickerson Dr, Jasper, TX 75951-5111 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760831655 | Erica Weddington | Physician Assistant | 150 Interstate South Dr Ste 100, Jasper, GA 30143-6252 | 2016-06-10 |
| 1609843457 | Marvin Langford | Physician Assistant | 175 Samaritan Dr, Jasper, GA 30143-1964 | 2006-03-01 |
| 1811993041 | Janice L West | Physician Assistant | 1020 J L White Dr, Suite 160, Jasper, GA 30143-4908 | 2005-06-22 |
| 1194386573 | Melanie Martin | Physician Assistant | 1025 1st Ave W, Jasper, IN 47546-3217 | 2019-06-26 |
| 1851899322 | Taylor Anne Countiss | Physician Assistant | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2018-01-30 |
| 1598116790 | Erin Flanagan | Physician Assistant | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2016-06-29 |
| 1386885069 | Jason Fleury | Physician Assistant | 220 J L White Dr, Suite 100, Jasper, GA 30143-4893 | 2009-03-10 |
| 1972780609 | Lassiter Emergency Group LLC | Physician Assistant | 1000 Highway 28, Jasper, TN 37347-3638 | 2008-01-24 |
| 1346442746 | Jasper Emergency Medicine Associates Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-06-05 |
| 1972511574 | Milan S Valuch | Physician Assistant | 751 W 9th St, Jasper, IN 47546-2609 | 2006-08-03 |
| Find all providers in JASPER | ||||
Please comment or provide details below to improve the information on MR. KEHINDE ADEKOYEJO AKINFENWA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.