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DR. EDWARD K KANKAM D.O.
NPI 1114085842
Family Medicine in Port Saint Lucie, FL

Active since December 05, 2006
293 NW PEACOCK BLVD STE 101-104, PORT SAINT LUCIE, FL 34986(772) 335-9600(772) 879-4478 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2019, Apr 18, 2018 (2 updates tracked since 2018).

About Dr. Edward K Kankam D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD K KANKAM D.O. (NPI 1114085842) is an individual family medicine provider in Port Saint Lucie, Florida, licensed in Florida (OS7965) and active in the NPI registry since December 2006. He maintains a secondary practice location in Wellington.

NPPES Registry Identity

NPI1114085842
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD K KANKAMCredential: D.O.
Location Address293 NW PEACOCK BLVD STE 101-104Port Saint Lucie, FL 34986-2222
Mailing Address293 Nw Peacock Blvd Ste 101-104Port Saint Lucie, FL 34986-2222 · (772) 335-9600 · Fax (772) 879-4478
Phone(772) 335-9600
Fax(772) 879-4478
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration
✔ NPI 1114085842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS7965
Definition
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.
293 NW PEACOCK BLVD STE 101-104, Port Saint Lucie, FL 34986
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Secondary Practice Location 1

Location 11447 Medical Park Blvd., SUITE 405Wellington, FL 33414-9325 · Phone (561) 792-7484 · Fax (561) 792-7454

Other Identifiers 1

Medicaid260022600FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA ANDREA MICHELLE CRAWFORD-HARRIS M.D.
Family Medicine
293 NW PEACOCK BLVD STE 101-104
PORT ST LUCIE, FL 34986
St. Lucie County (772) 335-9600
DR. AGUSTIN C SANZ MD
Internal Medicine
293 NW PEACOCK BLVD STE 101-104
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 335-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Kankam's NPI number?

The NPI number for Edward Kankam is 1114085842. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Edward Kankam located?

Edward Kankam practices at 293 NW Peacock Blvd Ste 101-104, Port Saint Lucie, FL 34986. The listed phone number is (772) 335-9600.

What is Edward Kankam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Edward Kankam was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.