Individual ProviderKwaku KankamPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address16405 Northcross Dr Ste G2, Huntersville, NC 28078-5005(704) 550-4954PECOS EnrollmentBased on the most recent information from CMS, provider Kwaku Kankam does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1699172221Provider TypeIndividualFull NameKankam, KwakuGenderMaleSole ProprietorNoEnumeration Date11/25/2014Last Updated11/25/2014Contact InformationPractice LocationPractice Address16405 Northcross Dr Ste G2, Huntersville, NC 28078-5005Phone(704) 550-4954FaxUnlisted FaxMailing LocationMailing Address16405 Northcross Dr Ste G2, Huntersville, NC 28078-5005PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1230760Texas