Basic Information
| Provider Information | |||||||||
| NPI: | 1619104957 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAMARA | ||||||||
| FirstName: | OSMAN | ||||||||
| MiddleName: | BAI BAI | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 145 E WARM SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891194101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026599090 | ||||||||
| FaxNumber: | 8668797229 | ||||||||
| Practice Location | |||||||||
| Address1: | 6133 OLD ROSE DR | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891484711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145925802 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2009 | ||||||||
| LastUpdateDate: | 05/19/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN 349791 | OH | Y | Nursing Service Providers | Registered Nurse |
No ID Information.