Healthcare Provider Details

I. General information

NPI: 1841269834
Provider Name (Legal Business Name): OLUWOLE JOHN ABE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 SAINT JOSEPH LN
LONDON KY
40741-8345
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 606-864-4040
  • Fax: 606-864-3500
Mailing address:
  • Phone: 606-330-7840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number36997
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number36997
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: