DR. EDWARD K KANKAM (D.O.) – Family Medicine Physician, NPI 1114085842

DR. EDWARD K KANKAM (D.O.) is a healthcare provider. based in Wellington, Florida. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS7965 (FL). The NPI Number for DR. EDWARD K KANKAM (D.O.) is 1114085842

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD K KANKAM (D.O.)
NPI
1114085842
Phone
(561) 792-7484
Address
1447 Medical Park Blvd.
Enumeration Date
5 December 2006
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7723359600
Graduation Year
1997 (29 years ago)
PAC ID
0345378378
Group Practice PAC ID
1456430487
Professional Enrollment ID
I20100512000120
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. EDWARD K KANKAM (D.O.)

  • 1447 Medical Park Blvd.

    SUITE 405

    Wellington, FL 334149325

    Phone: (561) 792-7484

    Fax: (561) 792-7454

    Type: Location

  • 293 NW PEACOCK BLVD STE 101-104

    PORT SAINT LUCIE, FL 349862222

    Phone: (772) 335-9600

    Fax: (772) 879-4478

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33414)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456430487View full group profile
NameSpecialtyState
Nurse PractitionerFL
General SurgeryMI
Cardiovascular Disease (Cardiology), Internal MedicineFL
U R O L O G YFL
Family PracticeIN
P O D I A T R YFL
-FL
Physician AssistantFL
Family PracticeME
Family PracticeFL

Reviews

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Frequently asked questions

Is DR. EDWARD K KANKAM (D.O.) listed with a National Provider Identifier?
Yes — DR. EDWARD K KANKAM (D.O.) has NPI 1114085842 on file in the registry.
Is DR. EDWARD K KANKAM (D.O.) shown as active in public data?
Registry records indicate DR. EDWARD K KANKAM (D.O.) maintains an active NPI.
What area of care is associated with DR. EDWARD K KANKAM (D.O.)?
DR. EDWARD K KANKAM (D.O.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. EDWARD K KANKAM (D.O.) associated with Wellington?
Public fields place DR. EDWARD K KANKAM (D.O.) around Wellington, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. EDWARD K KANKAM (D.O.) is noted as December 5, 2006 where the registry provides it.

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