Provider Demographics
NPI:1114318664
Name:DONKOR, KWADWO OWUSU (ATC)
Entity Type:Individual
Prefix:MR
First Name:KWADWO
Middle Name:OWUSU
Last Name:DONKOR
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-4621
Mailing Address - Country:US
Mailing Address - Phone:540-946-7700
Mailing Address - Fax:
Practice Address - Street 1:225 S WAYNE AVE
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-4621
Practice Address - Country:US
Practice Address - Phone:540-946-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260018142255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer