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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

NPI # 1982355319
LBN Legal business name KOFTOWN MEDICAL CENTER LLC
Authorized official BERNARD ADDOGOH - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2022
Last updated 02/18/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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