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Individual

MR. KWAME ACHEAMPONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1111 STRATFORD AVE APT 404, STRATFORD, CT 06615-6380
(203) 278-1125
Mailing address
1111 STRATFORD AVE APT 404, STRATFORD, CT 06615-6380
(203) 278-1125

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
114524
CT
163W00000X
Registered Nurse
R208334
MD
363L00000X
Nurse Practitioner
9402
CT
363LF0000X
Family Nurse Practitioner
Primary
9402
CT

Other

Enumeration date
11/27/2020
Last updated
08/27/2021
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