MEDICARE: KWAME YEBOAH AGYEMANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1194525295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KWAME YEBOAH AGYEMANG

Provider Business Mailing Address
First Line	:	4033 CHARWOOD CIR APT 9
Second Line	:
City	:	ERLANGER
State	:	KY
Zip	:	41018-2948
Country	:	US
Telephone Number	:	859-692-8111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2543 SPINDLE DR APT 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1030
Country	:	US
Telephone Number	:	859-692-8111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/17/2025

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