Provider Demographics
NPI:1487888939
Name:KOTEY, ANTOINETTE ADOWAA (MD)
Entity type:Individual
Prefix:DR
First Name:ANTOINETTE
Middle Name:ADOWAA
Last Name:KOTEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANTOINETTE
Other - Middle Name:ADOWAA
Other - Last Name:KOTEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:707 N ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:MO
Mailing Address - Zip Code:64429-1804
Mailing Address - Country:US
Mailing Address - Phone:630-518-5440
Mailing Address - Fax:
Practice Address - Street 1:100 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-1554
Practice Address - Country:US
Practice Address - Phone:660-707-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012003457207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine