Provider Demographics
NPI:1043098957
Name:NYAMEKYE, JOHN KWESI (PA-C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:KWESI
Last Name:NYAMEKYE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7819 FOXFARM LN
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6322
Mailing Address - Country:US
Mailing Address - Phone:301-905-2217
Mailing Address - Fax:301-905-2217
Practice Address - Street 1:7819 FOXFARM LN
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6322
Practice Address - Country:US
Practice Address - Phone:301-905-2217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant