MEDICARE: KAYOUMA OUKPEDJO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1053016881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYOUMA OUKPEDJO

Provider Business Mailing Address
First Line	:	2741 ERLENE DR APT 7
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2808
Country	:	US
Telephone Number	:	929-304-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	2741 ERLENE DR APT 7
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2808
Country	:	US
Telephone Number	:	929-304-4351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

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Directions to “ KAYOUMA OUKPEDJO ” Practice Location

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