Individual
OUSMAN KAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26237 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-4546
(313) 898-4390
Mailing address
18440 W 9 MILE RD, SOUTHFIELD, MI 48075-4034
(313) 414-6242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F08180419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08180419
NA
MI
01
—
08180419
NA
—
Enumeration date
11/11/2018
Last updated
11/11/2018
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