Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kodjo Senior Edoh, RN

Individual provider Registered Nurse · NPI 1790485621

Mr. Kodjo Senior Edoh, RN is a Nurse Practitioner in Wichita, Kansas. Qualified in 2024, 2 years ago. Practices with Soma Recovery LLC, a 30-clinician group, works from 2 locations and offers telehealth. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

8623 E 32nd St N
Wichita, KS 67226-3317
Phone: (316) 869-2888
Fax: (316) 425-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5500 E Kellogg Dr, Wichita, KS 67218-1607 — (316) 685-2221

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 83479 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 150820 (KS)

Record details

NPI number1790485621
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 8, 2023
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address5500 E Kellogg Dr, Wichita, KS 67218-1607

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Soma Recovery Llc — 30 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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