Healthcare Provider Details

I. General information

NPI: 1104302900
Provider Name (Legal Business Name): BARBARA MARIE OKAFOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA MARIE BASTIWN MD

II. Dates (important events)

Enumeration Date: 07/14/2018
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7370 TURFWAY RD
FLORENCE KY
41042-4895
US

IV. Provider business mailing address

PO BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-757-4446
  • Fax: 859-344-1999
Mailing address:
  • Phone: 859-344-5555
  • Fax: 859-344-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number01089986A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number58116
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: