Healthcare Provider Details

I. General information

NPI: 1053775262
Provider Name (Legal Business Name): KWAME FRIMPONG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 SE PARKWAY CT
FRANKLIN TN
37064-3968
US

IV. Provider business mailing address

PO BOX 3799
CLARKSVILLE TN
37043-3799
US

V. Phone/Fax

Practice location:
  • Phone: 615-790-0567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number60159
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: