Individual
KOSSIVI AGBOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5798
Mailing address
16401 CORBY ST, OMAHA, NE 68116-2559
(402) 706-3841
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
71906
NE
Other
Enumeration date
10/09/2025
Last updated
12/07/2025
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