Provider Demographics
NPI:1821329178
Name:KAMARA, ALUSINE (LPN)
Entity Type:Individual
Prefix:
First Name:ALUSINE
Middle Name:
Last Name:KAMARA
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7840 CRAWFORD FARMS DR
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-9257
Mailing Address - Country:US
Mailing Address - Phone:614-604-9328
Mailing Address - Fax:614-604-9328
Practice Address - Street 1:7840 CRAWFORD FARMS DR
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-9257
Practice Address - Country:US
Practice Address - Phone:614-604-9328
Practice Address - Fax:614-604-9328
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH129916164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse