DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD K KANKAM, D.O.

Active Sole Proprietor

DR. EDWARD K KANKAM, D.O. is a Family Medicine healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1114085842 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORT SAINT LUCIE, FL

Registration Details

NPI Number
1114085842
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2006 (19.6501774627 yrs)
Last Updated
Oct 3, 2019
License
OS7965 (FL)
Sole Proprietor
Yes

Practice Information

Address
293 NW PEACOCK BLVD STE 101-104
PORT SAINT LUCIE, FL, 349862222
Browse FL providers · Browse ZIP 34986
Phone
7723359600
Fax
7728794478
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PORT SAINT LUCIE, FL

Name Credential NPI
LINDA FAY DELO DO PA 1225033848
DR. DOMINIC J TOTANI D.O. 1396734646
DR. DEAN RONALD GALLUPE D.O. 1700828431
DR. NESTOR LACAYO MD 1508872037
DR. KIMBERLY ELLIS D.O. 1891703476
DR. BAMBI PETRINIC M.D. 1063549434
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.