Individual
DR. KWABENA A DONKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,FCCP.MPH&TM
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 392-7859
(434) 318-8851
Mailing address
PO BOX 353, FARMVILLE, VA 23901-0353
(434) 392-7859
(434) 315-8851
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101047394
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101047394
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101047394
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133904
—
VA
01
—
138335
ANTHEM
VA
01
—
453211
ANTHEM
VA
Enumeration date
06/17/2005
Last updated
02/22/2016
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