Provider Demographics
NPI:1467258848
Name:DRABO COMPAORE, BARKISSA
Entity type:Individual
Prefix:
First Name:BARKISSA
Middle Name:
Last Name:DRABO COMPAORE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14906 MORMON ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-1234
Mailing Address - Country:US
Mailing Address - Phone:402-812-2417
Mailing Address - Fax:
Practice Address - Street 1:14906 MORMON ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-1234
Practice Address - Country:US
Practice Address - Phone:402-812-2417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty