MEDICARE: MR. OUMAR KANTE

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
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1790448892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. OUMAR KANTE

Provider Business Mailing Address
First Line	:	3333 EPWORTH AVE APT 16
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6725
Country	:	US
Telephone Number	:	513-240-6693
Fax Number	:

Provider Business Practice Location Address
First Line	:	1457 ASTER PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-3209
Country	:	US
Telephone Number	:	513-518-0820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2021
Last Update Date	:	10/16/2021

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Directions to “ MR. OUMAR KANTE ” Practice Location

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