Provider Demographics
NPI:1073805669
Name:KAMARA, EMAH SR (LPN)
Entity Type:Individual
Prefix:
First Name:EMAH
Middle Name:
Last Name:KAMARA
Suffix:SR
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3673 EMERY CLUB WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3160
Mailing Address - Country:US
Mailing Address - Phone:614-269-5068
Mailing Address - Fax:
Practice Address - Street 1:3673 EMERY CLUB WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3160
Practice Address - Country:US
Practice Address - Phone:614-269-5068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH139147164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse