Individual
KOSSI KANGNISOUKPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7022 S 163RD ST, OMAHA, NE 68136-3032
(402) 807-6364
Mailing address
7022 S 163RD ST, OMAHA, NE 68136-3032
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
NE
251C00000X
Developmentally Disabled Services Day Training Agency
—
NE
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
NE
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NE
376J00000X
Homemaker
—
NE
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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