Provider Demographics
NPI:1851943252
Name:ANSAH, BERNARD OWUSU
Entity Type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:OWUSU
Last Name:ANSAH
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 1:15211 ABINGTON RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-5293
Mailing Address - Country:US
Mailing Address - Phone:860-906-6450
Mailing Address - Fax:
Practice Address - Street 1:15211 ABINGTON RIDGE PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-5293
Practice Address - Country:US
Practice Address - Phone:860-906-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health