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Contact Information

PEGDWENDE B KABORE
13545 EMILINE ST
OMAHA, NE68138-6114
 Phone: 646-431-1535
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PEGDWENDE B KABORE · (Male)

NPI # 1083411888
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2025
Last updated 02/27/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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