NPI 1003613209
Messan Kponton Quam Dessou
Practice location
- Address
- 5022 S 114th St STE 100, Omaha, NE 68137-2329
- Phone
- (402) 981-5938
- Mailing address
- 12208 Stonegate Dr APT 304, Omaha, NE 68164-5260
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1003613209
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Feb 2025
- Record last updated
- 26 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.