Kenneth K. K Akabutu, LPN
Individual provider Active NPI Nursing Care Agency · Columbus, OH
NPI 1629100490 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629100490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Care Agency 251J00000X
- License
- PN121801 (OH)
- Practice address
- 3898 Farmbrook LN
Columbus, OH 43204-1572 - Phone
- (614) 275-2072
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN121801 | OH | MD | Nursing Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | PN121801 | OH | Yes |
Addresses
Primary practice location
3898 Farmbrook LN
Columbus, OH 43204-1572
Mailing address
3898 Farmbrook LN
Columbus, OH 43204-1572
Phone (614) 275-2072
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.