Active NPIIndividual providerSole proprietor

Mr. Andrew D Kakulu, LPN

Licensed Practical Nurse in Mattapan, Massachusetts

NPI Number1619112000
Practice location
14 Alabama St, Mattapan, MA 02126-1416
Fax
—
Last updated
December 13, 2008

Andrew D Kakulu is a Licensed Practical Nurse based in Mattapan, MA. Andrew D Kakulu practices in Mattapan, MA and has the professional credentials of LPN. The NPI Number for Andrew D Kakulu is 1619112000 and holds a License No. 50339 (MA). The current practice location address for Andrew D Kakulu is 14 Alabama St, Mattapan, MA 02126-1416 and can be reached out via phone at 617-298-2187.

Provider Profile Details

NPI Number
1619112000
Provider Name
Andrew D Kakulu
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
14 Alabama St, Mattapan, MA 02126-1416
Phone Number
617-298-2187
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 13, 2008
Last Update Date
December 13, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Alabama St
Mattapan, MA 02126-1416
Zip
02126-1416
Phone Number
617-298-2187
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
14 Alabama St
Mattapan, MA 02126-1416
City
Mattapan
State
MA
Zip
02126-1416
Phone Number
617-298-2187

License Information

License Number
50339
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Andrew D Kakulu, LPN?

The NPI number of Mr. Andrew D Kakulu, LPN is 1619112000. It was assigned on December 13, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Andrew D Kakulu, LPN?

Mr. Andrew D Kakulu, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number 50339.

Where does Mr. Andrew D Kakulu, LPN practice?

The practice location is 14 Alabama St, Mattapan, MA 02126-1416. The office can be reached at 617-298-2187 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619112000 directly on the NPPES registry website.

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