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KOKOU SELOM ADOMPREH FIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
35.148374
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2020
Last updated
08/29/2023
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