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General NPI Number Information
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NPI Number | 1427306935
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Entity Type | Individual
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Provider Name | KAYODE JIBRIL BELLO M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 1506 S ONEIDA ST HOSPITAL SERVICE DEPT
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City | APPLETON
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State | WI
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Zip | 54915-1305
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Country | US
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Telephone | 920-738-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 S ONEIDA ST HOSPITAL SERVICE DEPT.
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City | APPLETON
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State | WI
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Zip | 54915-1305
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 64252
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 64262-20
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License Number State | WI
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