Provider Demographics
NPI:1972306157
Name:KABORE, RAM ADAMS
Entity type:Individual
Prefix:
First Name:RAM
Middle Name:ADAMS
Last Name:KABORE
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 1:6726 N 78TH TER
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1661
Mailing Address - Country:US
Mailing Address - Phone:402-714-2622
Mailing Address - Fax:402-714-2622
Practice Address - Street 1:6726 N 78TH TER
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1661
Practice Address - Country:US
Practice Address - Phone:402-714-2622
Practice Address - Fax:402-714-2622
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEH137740293747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant