Basic Information
| Provider Information | |||||||||
| NPI: | 1154575504 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AKAFUAH | ||||||||
| FirstName: | RHODA | ||||||||
| MiddleName: | ADWOBA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 135 E MAXWELL ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405082640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593236211 | ||||||||
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| Practice Location | |||||||||
| Address1: | 135 E MAXWELL ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405082640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593236211 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/12/2008 | ||||||||
| LastUpdateDate: | 09/05/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 44114 | KY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 1154575504 | 05 | KY | MEDICAID |