Provider Demographics
NPI:1538877048
Name:KABANGA, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KABANGA
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 1:8023 BARRET RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2744
Mailing Address - Country:US
Mailing Address - Phone:513-954-1592
Mailing Address - Fax:
Practice Address - Street 1:8023 BARRET RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2744
Practice Address - Country:US
Practice Address - Phone:513-954-1592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide