Provider Demographics
NPI:1285429480
Name:BOASIAKO, KWASI ANTWI
Entity type:Individual
Prefix:
First Name:KWASI
Middle Name:ANTWI
Last Name:BOASIAKO
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 1:949 BRUSHFIELD DR APT 102
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-7913
Mailing Address - Country:US
Mailing Address - Phone:614-441-5745
Mailing Address - Fax:
Practice Address - Street 1:949 BRUSHFIELD DR APT 102
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-7913
Practice Address - Country:US
Practice Address - Phone:614-441-5745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care