NPI 1033757976

Kouakou Ansumane Boudjiho-Bey

Practitioner Driver Portsmouth, VA

Practice location

Address: 1108 Warfield Dr, Portsmouth, VA 23701-3831
Phone: (757) 971-8142

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence T60545514 (VA)

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Registry record

NPI: 1033757976
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2019
Record last updated: 10 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.