Kwatampora, Lily
Kwatampora, Lily is an individual health care provider with primary practice located at 2012 S Main St Ste C, Goshen IN 46526-5200. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kwatampora, Lily can be contacted via phone (574) 500-2010.Contact Information
Primary practice address
2012 S Main St Ste C
Goshen IN 46526-5200
Phone: (574) 500-2010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Other Service Providers / Specialist | 174400000X | 01076257A | Indiana |
Profile Details
| NPI number | 1407182041 |
|---|---|
| LBN Legal business name | Kwatampora, Lily |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2009 |
| Last updated | May 3rd, 2023 - about 3 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 | 1407182041 | NPPES |
| Indiana | MEDICAID | 201354690 |
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