Provider Demographics
NPI:1225805435
Name:BAFFOUR-AKOWUAH, KWAME
Entity Type:Individual
Prefix:
First Name:KWAME
Middle Name:
Last Name:BAFFOUR-AKOWUAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 FANTAIL CT
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4675
Mailing Address - Country:US
Mailing Address - Phone:646-303-8510
Mailing Address - Fax:
Practice Address - Street 1:2 FANTAIL CT
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4675
Practice Address - Country:US
Practice Address - Phone:646-303-8510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator