Healthcare Provider Details

I. General information

NPI: 1003753823
Provider Name (Legal Business Name): BUKOLA PALMER ONYELUNISUE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 SW VAN BUREN ST
TOPEKA KS
66611-2226
US

IV. Provider business mailing address

3300 SW VAN BUREN ST
TOPEKA KS
66611-2226
US

V. Phone/Fax

Practice location:
  • Phone: 832-436-7029
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: