| NPI | 1942926464 |
|---|---|
| Doing Business As | TKO VITALITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | KEHINDE OLATUNJI Owner/Provider 443-226-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |