Individual
KWABENA BOAKYE AGYEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 341-7296
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 341-7296
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041390031
IL
163W00000X
Registered Nurse
1139036
KY
163W00000X
Registered Nurse
2011001948
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
3008561
KY
Other
Enumeration date
01/09/2014
Last updated
03/05/2014
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