Provider Demographics
NPI:1780777656
Name:OLOGBONORI, KEHINDE KAFILAT (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KEHINDE
Middle Name:KAFILAT
Last Name:OLOGBONORI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 HIGHVIEW TER
Mailing Address - Street 2:APT 203
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-4049
Mailing Address - Country:US
Mailing Address - Phone:301-559-4999
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW # 119
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-745-8639
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist