Individual
KORDOR YEBOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
838 PENN STREET, READING, PA 19602
(610) 988-4838
(610) 288-4515
Mailing address
838 PENN STREET, READING, PA 19602
(610) 988-4838
(610) 288-4515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP005319B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102221003
—
PA
Enumeration date
10/04/2006
Last updated
10/19/2012
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