Individual provider · NPI-1

Kwabena Krow Ampofo

Pediatrics, Pediatric Infectious Diseases · Salt Lake City, UT

NPI number1629157193
StatusActive
Last updated in NPPESOct 16, 2021

Details

NPI
1629157193
Entity type
Individual (NPI-1)
Name
Kwabena Krow Ampofo
Sex
Male
Sole proprietor
No
Enumeration date
Nov 3, 2006
Certification date
Oct 16, 2021
Last updated
Oct 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0208X Pediatrics, Pediatric Infectious Diseases5165576-1205UTYes

Practice location

100 N Medical Dr
Salt Lake City, UT 84113-1103

Phone 801-581-2121

Mailing address

Po Box 581100
Salt Lake City, UT 84158-1100

Phone 801-213-3800

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