Healthcare Provider Details

I. General information

NPI: 1508028788
Provider Name (Legal Business Name): KEMI MORENIKEJI DOLL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADEFOLAKEMI MORENIKEJI ONI M.D.

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 09/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-8300
  • Fax:
Mailing address:
  • Phone: 206-543-6420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberMD60657717
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: