IndividualActive
Boakai Kanneh
NPI 1487333829 · Home Health Aide · Otsego, MN
Provider details
- NPI number
- 1487333829
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
12153 72nd St Ne
Otsego, MN 55330-5064
Phone: (612) 709-3880
Fax: (612) 454-2583
Approximate (ZIP-level) locationGet directions
Mailing address
12153 72nd St Ne
Otsego, MN 55330-5064
Registry dates
- Enumerated
- 2023-07-13
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.