Oluwakemisola Abiodun Koku, is a
Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent based in Waldorf, Maryland. Oluwakemisola Abiodun Koku is licensed to practice in Texas (license number 1025926) and her current practice location is
4665 Pebble Beach Ct, Waldorf, Maryland. She can be reached at her office (for appointments etc.) via phone at
(737) 268-9101.
NPI number for Oluwakemisola Abiodun Koku is 1619812427 and her current mailing address is 4665 Pebble Beach Ct, Waldorf, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619812427.
Provider's Profile
| Full Name | Oluwakemisola Abiodun Koku |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
|---|
| Location | 4665 Pebble Beach Ct, Waldorf, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619812427
- Provider Enumeration Date: 04/20/2026
- Last Update Date: 04/20/2026
Medical Identifiers
Medical identifiers for Oluwakemisola Abiodun Koku such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619812427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 1025926 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Oluwakemisola Abiodun Koku is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Oluwakemisola Abiodun Koku, 4665 Pebble Beach Ct, Waldorf, MD 20602-4110 Ph: (737) 268-9101 | Oluwakemisola Abiodun Koku, 4665 Pebble Beach Ct, Waldorf, MD 20602-4110 Ph: (737) 268-9101 |
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