Provider Demographics
NPI:1790448892
Name:KANTE, OUMAR
Entity Type:Individual
Prefix:MR
First Name:OUMAR
Middle Name:
Last Name:KANTE
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 1:3333 EPWORTH AVE APT 16
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6725
Mailing Address - Country:US
Mailing Address - Phone:513-240-6693
Mailing Address - Fax:
Practice Address - Street 1:1457 ASTER PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-3209
Practice Address - Country:US
Practice Address - Phone:513-518-0820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-16
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty