Provider Demographics
NPI:1487950630
Name:AFOAKWAH, KENNETH ANKAPONG (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:ANKAPONG
Last Name:AFOAKWAH
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:MR
Other - First Name:STEPHEN
Other - Middle Name:
Other - Last Name:MENSAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4735 BELPAR ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3648
Mailing Address - Country:US
Mailing Address - Phone:330-493-9822
Mailing Address - Fax:
Practice Address - Street 1:4735 BELPAR ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718
Practice Address - Country:US
Practice Address - Phone:330-417-9552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily