Kahlfani Shomari Nantambu
Chore Provider in Livonia, MI. Individual provider (NPI-1).
NPI number1801671912
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1801671912
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kahlfani Shomari Nantambu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2023
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | MI | Yes |
| 374U00000X | Home Health Aide | – | MI | |
| 376K00000X | Nurse's Aide | – | MI |
Other names
- Kevin George Riggins (Other Name)
Practice location
33200 Schoolcraft Rd Ste 206Livonia, MI 48150
Phone 866-698-7349
Mailing address
1200 Newnan Crossing Blvd E Apt 905Newnan, GA 30265-1591
Phone 678-698-6587
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