Provider Demographics
NPI:1326729070
Name:KAMARA, ALIEU KABBA
Entity Type:Individual
Prefix:
First Name:ALIEU
Middle Name:KABBA
Last Name:KAMARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6371 SUNDERLAND DR APT A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-8921
Mailing Address - Country:US
Mailing Address - Phone:215-594-9065
Mailing Address - Fax:
Practice Address - Street 1:6371 SUNDERLAND DR APT A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-8921
Practice Address - Country:US
Practice Address - Phone:215-594-9065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker