Provider Demographics
NPI:1609207901
Name:ANTWI-BOATENG, FRANCIS
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:ANTWI-BOATENG
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 1:9550 E LINCOLN ST
Mailing Address - Street 2:APT 212
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-3543
Mailing Address - Country:US
Mailing Address - Phone:816-379-2967
Mailing Address - Fax:
Practice Address - Street 1:9550 E LINCOLN ST
Practice Address - Street 2:APT 212
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-3543
Practice Address - Country:US
Practice Address - Phone:816-379-2967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-155391835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support