Individual
DEREK KWAKYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-4503
(513) 584-0462
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 524-5136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.147378
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
04/11/2023
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