Individual
KWAME ADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2407 CLEAR CREEK RD, KILLEEN, TX 76549-5721
(254) 526-7523
Mailing address
2407 CLEAR CREEK RD, KILLEEN, TX 76549-5721
(254) 526-7523
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0028125
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1010963
TX
Other
Enumeration date
01/23/2020
Last updated
04/09/2021
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