Provider Demographics
NPI:1215283635
Name:AKOMPAP, NKEMENTOH
Entity type:Individual
Prefix:
First Name:NKEMENTOH
Middle Name:
Last Name:AKOMPAP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 MANDAN RD
Mailing Address - Street 2:APT T2
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2870
Mailing Address - Country:US
Mailing Address - Phone:240-413-8463
Mailing Address - Fax:
Practice Address - Street 1:8015 MANDAN RD
Practice Address - Street 2:APT T2
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2870
Practice Address - Country:US
Practice Address - Phone:240-413-8463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide