Individual
DR. EVANS KYEI-NIMAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 MARENGO STREET, FLORENCE, AL 35630
(256) 768-9509
(256) 768-9715
Mailing address
PO BOX 10005, FLORENCE, AL 35631-2005
(256) 768-9509
(256) 768-9715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103384
—
AL
05
—
149423
—
AL
01
—
P00612693
RR MEDICARE
GA
Enumeration date
08/15/2006
Last updated
07/21/2022
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