Provider Demographics
NPI:1801105762
Name:OKEWUNMI, KIM FOLUKE (DNP, WHNP-BC)
Entity type:Individual
Prefix:DR
First Name:KIM
Middle Name:FOLUKE
Last Name:OKEWUNMI
Suffix:
Gender:F
Credentials:DNP, WHNP-BC
Other - Prefix:MS
Other - First Name:FOLUKE
Other - Middle Name:WEMIMO-KIM
Other - Last Name:OKEWUNMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:6550 FANNIN ST STE 2221
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2722
Mailing Address - Country:US
Mailing Address - Phone:713-797-9666
Mailing Address - Fax:713-797-0661
Practice Address - Street 1:6550 FANNIN ST STE 2221
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2722
Practice Address - Country:US
Practice Address - Phone:713-797-9666
Practice Address - Fax:713-797-0661
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726942163W00000X
TXAP118543363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX220052903Medicaid
TX220052902Medicaid