Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kikelomo Omotoso

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1700247418

Kikelomo Omotoso is a Nurse Practitioner in Bullhead City, Arizona. Qualified in 2015, 11 years ago. Practices with Nader Y. Abdelsayed, MD, Professional Corporation, a 7-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2016

Practice location Address checks out

2500 Canyon Rd Ste A1
Bullhead City, AZ 86442
Phone: (928) 704-4499
Fax: (928) 704-4949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence 8360 (AZ)

Record details

NPI number1700247418
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2016
Last updated in NPPESDecember 15, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Nader Y. Abdelsayed, M.D., Professional Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bullhead City