Monday T Akintuyi

Individual provider Active NPI Registered Nurse · Wichita, KS

NPI 1780245522 · NPPES record last updated Jun 24, 2019

Key facts

NPI
1780245522
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
13-103896-012 (KS)
Practice address
2828 S Ida St
Wichita, KS 67216-1353
Phone
(316) 409-7724
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13-103896-012KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Home Health LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-103896-012 KS Yes

Addresses

Primary practice location

2828 S Ida St
Wichita, KS 67216-1353

Mailing address

2828 S Ida St
Wichita, KS 67216-1353
Phone (316) 409-7724

Other providers in Wichita, KS

All providers in Wichita, KS · Registered Nurse in Kansas

Sources for this page

Verify at the official NPI Registry.