Individual
KWABENA BONSU OWUSU-BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8109 TIS WELL DRIVE, SUITE 511, ALEXANDRIA, VA 22306
(703) 799-9500
(703) 799-9502
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102205966
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2017
Last updated
05/05/2026
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