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NPI Code Detail

MEDICARE: YEZI KASONGA

MEDICARE: YEZI KASONGA
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
1372600000XAdult CompanionNE

General Provider Information

NPI Number : 1982542387
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEZI KASONGA
Provider Business Mailing Address
First Line : PO BOX 939
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-0939
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 E MISSION AVE
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-5220
Country : US
Telephone Number : 402-933-0680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ YEZI KASONGA ” Practice Location

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