Healthcare Provider Details

I. General information

NPI: 1821735572
Provider Name (Legal Business Name): AKOFA CINDY KEKEH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2022
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date: 05/15/2022
Reactivation Date: 09/15/2022

III. Provider practice location address

620 JOHN PAUL JONES CIR
PORTSMOUTH VA
23708-2111
US

IV. Provider business mailing address

5310 GRANDEUR DR
SALISBURY NC
28146-1626
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-5000
  • Fax:
Mailing address:
  • Phone: 757-448-8615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0102208363
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: