Kwaku Poku Agyemang Boakye
Individual provider Active NPI Personal Care Attendant · Norfolk, NE
NPI 1366316630 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1366316630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1005 N 6TH St
Norfolk, NE 68701-2856 - Phone
- (469) 350-0976
- NPI assigned
- Oct 1, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1005 N 6TH St
Norfolk, NE 68701-2856
Mailing address
1005 N 6TH St
Norfolk, NE 68701-2856
Phone (469) 350-0976
Other providers in Norfolk, NE
- Daniel G Blomenberg
- Irene Lynn Blomquist
- Jennifer Marie Bloom
- Leigh Bloomquist
- Reghan Bloomquist
- Megan Joy Boamah
- Maribeth Bobeldyke
- Dena Bock
- Kathy Bock
- Liane Lynne Bode
All providers in Norfolk, NE · Personal Care Attendant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.