Provider Demographics
NPI:1225832579
Name:AMOA, KWESI APPEA
Entity type:Individual
Prefix:
First Name:KWESI
Middle Name:APPEA
Last Name:AMOA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 NEW MARKET CT
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3572
Mailing Address - Country:US
Mailing Address - Phone:410-615-1820
Mailing Address - Fax:
Practice Address - Street 1:106 NEW MARKET CT
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3572
Practice Address - Country:US
Practice Address - Phone:410-615-1820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage