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NPI Code Detail

MEDICARE: ALIMATU KARGBO LPN

MEDICARE: ALIMATU KARGBO LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN307536PA

General Provider Information

NPI Number : 1083239370
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIMATU KARGBO LPN
Provider Business Mailing Address
First Line : 204 MACDADE BLVD
Second Line :
City : YEADON
State : PA
Zip : 19050-3835
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 204 MACDADE BLVD
Second Line :
City : YEADON
State : PA
Zip : 19050-3835
Country : US
Telephone Number : 484-469-3787
Fax Number : 484-462-3974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2020
Last Update Date : 06/12/2020

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Directions to “ ALIMATU KARGBO LPN” Practice Location

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