Individual
ANTHONY NYARKO KORANTENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
965 BAXTER AVE, LOUISVILLE, KY 40204
(502) 656-0661
Mailing address
965 BAXTER AVE, LOUISVILLE, KY 40204
(502) 656-0661
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-4951049
—
PA
Enumeration date
03/27/2018
Last updated
09/10/2021
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