Healthcare Provider Details

I. General information

NPI: 1043193592
Provider Name (Legal Business Name): YAA ASANTEWAA KAFUI KLU PHD, MPH, RDN, CPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 DUCKETTS LN
ELKRIDGE MD
21075-6800
US

IV. Provider business mailing address

7050 DUCKETTS LN
ELKRIDGE MD
21075-6800
US

V. Phone/Fax

Practice location:
  • Phone: 404-422-6229
  • Fax:
Mailing address:
  • Phone: 404-422-6229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: