Healthcare Provider Details

I. General information

NPI: 1588806434
Provider Name (Legal Business Name): SYLVIA YIRENKYI OFEI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2009
Last Update Date: 08/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST
LEXINGTON KY
40536-7001
US

IV. Provider business mailing address

721 W MAIN ST
LEXINGTON KY
40508-2019
US

V. Phone/Fax

Practice location:
  • Phone: 614-832-3545
  • Fax:
Mailing address:
  • Phone: 614-832-3545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number49350
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: