Provider Demographics
NPI:1669449815
Name:AMOAKO-ABABIO, KOFI (MD, MPH)
Entity Type:Individual
Prefix:
First Name:KOFI
Middle Name:
Last Name:AMOAKO-ABABIO
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3362
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67402-3362
Mailing Address - Country:US
Mailing Address - Phone:785-309-0355
Mailing Address - Fax:785-309-0184
Practice Address - Street 1:119 W IRON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2600
Practice Address - Country:US
Practice Address - Phone:785-309-0355
Practice Address - Fax:785-309-0184
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04285062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100354520IMedicaid
C82254OtherRR MEDICARE
KS105074OtherBCBS
KS111043OtherBCBS
KSP00182739OtherRAILROAD MEDICARE
C82254OtherRR MEDICARE