Provider Demographics
NPI:1053016881
Name:OUKPEDJO, KAYOUMA
Entity type:Individual
Prefix:
First Name:KAYOUMA
Middle Name:
Last Name:OUKPEDJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2741 ERLENE DR APT 7
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2808
Mailing Address - Country:US
Mailing Address - Phone:929-304-4351
Mailing Address - Fax:
Practice Address - Street 1:2741 ERLENE DR APT 7
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2808
Practice Address - Country:US
Practice Address - Phone:929-304-4351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health