EDWARD K. KANKAM D.O. – NPI #1114085842
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

EDWARD KANKAM is a physician located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1114085842 to EDWARD KANKAM on December 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Oct 03, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARD KANKAM below.

NPI Profile for
EDWARD K. KANKAM

NPI Number
1114085842
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDWARD K. KANKAM
Credentials
D.O.
Primary location
293 NW PEACOCK BLVD STE 101-104
PORT SAINT LUCIE, FL 34986-2222
Phone: (772) 335-9600 Fax: (772) 879-4478
1 Other location(s):
1447 Medical Park Blvd.
SUITE 405
Wellington, FL 33414-9325
Phone: (561) 792-7484
Fax: (561) 792-7454
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for EDWARD KANKAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL260022600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL OS7965

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.