Healthcare Provider Details
I. General information
NPI: 1467241315
Provider Name (Legal Business Name): MR. EDEN KWABENA KARIKARI
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/06/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4791 E PALM CANYON DR
PALM SPRINGS CA
92264-5220
US
IV. Provider business mailing address
4791 E PALM CANYON DR
PALM SPRINGS CA
92264-5220
US
V. Phone/Fax
- Phone: 760-834-7930
- Fax:
- Phone: 760-834-7930
- Fax: 760-834-7931
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | NP95034057 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: