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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114085842 NPPES
Florida MEDICAID 260022600

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