Individual
KOFI W NUAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 E REELFOOT AVE, SUITE C, UNION CITY, TN 38261-5856
(731) 884-0600
(731) 885-6171
Mailing address
1109 E REELFOOT AVE, SUITE C, UNION CITY, TN 38261-5866
(731) 884-0600
(731) 885-3692
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD31272
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0910401
ADMINISTAR
KY
01
—
148083
BETTER HEALTH PLANS
TN
01
—
28633
TLC
TN
05
—
3723214
—
TN
01
—
4073439
BC/BS
TN
01
—
64721699
KENTUCKY MEDICAID
KY
Enumeration date
10/04/2005
Last updated
06/16/2018
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