Individual
BOSCO BYINGOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 MAN O WAR PL APT 35, LEXINGTON, KY 40504-2821
(859) 619-0714
Mailing address
1234 MAN O WAR PL, LEXINGTON, KY 40504-2852
(859) 619-0714
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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