National Provider Identifier Database

VICTORIA O AGBOLA, APRN – NPI #1225479637
Family


Contact Information

VICTORIA O AGBOLA, APRN
2401 TERRA CROSSING BLVD STE 100
LOUISVILLE, KY40245-5395
Phone: 502-588-0746
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for VICTORIA O AGBOLA

NPI Number 1225479637
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/13/2013
Last updated 04/27/2026 - About 1 months ago
Sole proprietor1 No
Identifiers
  • KY License #: 3008171
  • KY Medicaid: 7100263330
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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