Healthcare Provider Details

I. General information

NPI: 1033819008
Provider Name (Legal Business Name): KAYODE ATOLOYE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 NICHOLS RD
KANSAS CITY MO
64112-2005
US

IV. Provider business mailing address

515 E JOPPA RD STE 300
TOWSON MD
21286-1806
US

V. Phone/Fax

Practice location:
  • Phone: 443-741-1895
  • Fax:
Mailing address:
  • Phone: 443-929-8315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number13463
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2024009461
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: