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Contact Information

KOFTOWN MEDICAL CENTER LLC
108 PATRIOT DR STE A
MIDDLETOWN, DE19709-8803
 Phone: 302-898-9494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KOFTOWN MEDICAL CENTER LLC · (Female)

NPI Number 1982355319
Status Active
Credentials
Entity Individual
Enumeration date 01/18/2022
Last updated 02/18/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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