Most Relevant Information
Provider Data
| NPI Number: | 1003495235 |
| Provider Name: | OSHUARE OLUBUNMI POLLY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2021 |
| Last Updated: | 07/23/2024 |
Provider Practice Location
3101 WALL ST
LEXINGTON
KY
405131711
Practice Location Phone/Fax
| Phone: | 8592196440 |
| Fax: | 8592196449 |
Provider Mailing Location
1005 DR DB TODD JR BLVD
NASHVILLE
TN
372083501
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |