Kankam, Edward K
Kankam, Edward K is an sole proprietor health care provider with primary practice located at 293 Nw Peacock Blvd Ste 101-104 , Port Saint Lucie FL 34986-2222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kankam, Edward K can be contacted via phone (772) 335-9600.Contact Information
Primary practice address
293 Nw Peacock Blvd Ste 101-104
Port Saint Lucie FL 34986-2222
Phone: (772) 335-9600
Fax: (772) 879-4478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS7965 | Florida |
Profile Details
| NPI number | 1114085842 |
|---|---|
| LBN Legal business name | Kankam, Edward K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Oct 3rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114085842 | NPPES |
| Florida | MEDICAID | 260022600 |
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