Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLINS KWABENA BOATENG, PA-C
ActiveCOLLINS KWABENA BOATENG, PA-C is a Physician Assistant healthcare provider located in LAKERIDGE, Virginia. NPI 1629502257 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKERIDGE, VA
Registration Details
- NPI Number
- 1629502257
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2017 (9.331417801954 yrs)
- Last Updated
- May 13, 2019
- Licenses
-
0110005729 (VA)0110005729 (VA)
Practice Information
- Address
-
2070 OLD BRIDGE RD STE 103LAKERIDGE, VA, 221922945Browse VA providers · Browse ZIP 22192
- Phone
- 7034998787
- Fax
- 7034998222
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.