Provider Demographics
NPI:1134014632
Name:KAYODE, FELICIA IBIJOKE
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:IBIJOKE
Last Name:KAYODE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6703 GREENLAND ST
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-3061
Mailing Address - Country:US
Mailing Address - Phone:202-779-6366
Mailing Address - Fax:
Practice Address - Street 1:6703 GREENLAND ST
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-3061
Practice Address - Country:US
Practice Address - Phone:202-779-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide