Dr Cletus Kobiah Oppong, MD | |
2211 Mayfair Dr Ste 102, Owensboro, KY 42301-4569 | |
(270) 688-1351 | |
(270) 683-3420 |
Full Name | Dr Cletus Kobiah Oppong |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 2211 Mayfair Dr Ste 102, Owensboro, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912264284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 73916 (Georgia) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 53413 (Kentucky) | Primary |
Entity Name | Owensboro Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
Mailing Address | Practice Location Address |
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Dr Cletus Kobiah Oppong, MD Po Box 23229, Owensboro, KY 42304-3229 Ph: (279) 688-1330 | Dr Cletus Kobiah Oppong, MD 2211 Mayfair Dr Ste 102, Owensboro, KY 42301-4569 Ph: (270) 688-1351 |
Jaime E Ford, ATC Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1723 Windsor Ave.,, Owensboro, KY 42301 Phone: 270-316-4360 | |
Dr. Matthew Damon Kolok, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 811 E Parrish Ave Ste 102, Owensboro, KY 42303 Phone: 270-688-2077 Fax: 270-688-2078 | |
Devon Michelle Shaut, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Frederica St, Owensboro, KY 42301 Phone: 651-270-3801 |