Provider Demographics
NPI:1326899840
Name:OKYERE, ELISHA BARFOUR
Entity Type:Individual
Prefix:
First Name:ELISHA
Middle Name:BARFOUR
Last Name:OKYERE
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 1:511 S 5TH ST APT 1011
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2390
Mailing Address - Country:US
Mailing Address - Phone:513-223-8007
Mailing Address - Fax:
Practice Address - Street 1:511 S 5TH ST APT 1011
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2390
Practice Address - Country:US
Practice Address - Phone:513-223-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program