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Individual

DR. KENNETH NANA AFFOH OFORI

Active
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Individual

DR. KENNETH NANA AFFOH OFORI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
01088669A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01088669A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068010895
MEDICARE PTAN
IN
05
300077763
IN
Enumeration date
05/10/2017
Last updated
08/16/2023
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