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Individual

KINGSLEY ANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2030 W BOULEVARD, KOKOMO, IN 46902-6079
(765) 454-0200
(765) 454-0207
Mailing address
2030 W BOULEVARD, KOKOMO, IN 46902-6079

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
01045262A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200100850
IN
Enumeration date
02/13/2006
Last updated
05/18/2022
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