Provider Demographics
NPI:1205347713
Name:KEHINDE, HELEN OLUBUKOLA
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:OLUBUKOLA
Last Name:KEHINDE
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 1:12 VILLAGE GATE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4402
Mailing Address - Country:US
Mailing Address - Phone:973-517-9271
Mailing Address - Fax:908-935-0916
Practice Address - Street 1:12 VILLAGE GATE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-4402
Practice Address - Country:US
Practice Address - Phone:973-517-9271
Practice Address - Fax:908-935-0916
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ$$$$$$$$$OtherSOCIAL SECURITY