Individual provider · Type 1 NPI

Colin Otubanjo

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1134090327 Active

Practice location

500 S Preston St Bldg 631-302B
Louisville, KY 40202-1702

Call (502) 852-5193 Map

Mailing address

500 S Preston St
Louisville, KY 40202-1702

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134090327

Colin Otubanjo's National Provider Identifier is 1134090327, issued on Sep 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Sep 12, 2025.