Provider Demographics
NPI:1215339825
Name:KAMARA, AMINATA
Entity type:Individual
Prefix:
First Name:AMINATA
Middle Name:
Last Name:KAMARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2079 BALMORAL CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5733
Mailing Address - Country:US
Mailing Address - Phone:614-896-6310
Mailing Address - Fax:
Practice Address - Street 1:750 N HIGH ST
Practice Address - Street 2:APT. 2F
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1495
Practice Address - Country:US
Practice Address - Phone:614-592-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400240160503374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide