Provider Demographics
NPI:1073730917
Name:KAKNIS, DINA VERVEN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:VERVEN
Last Name:KAKNIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 VLEI ROAD
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-2729
Mailing Address - Country:US
Mailing Address - Phone:845-876-2899
Mailing Address - Fax:
Practice Address - Street 1:263 VLEI RD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-2729
Practice Address - Country:US
Practice Address - Phone:845-876-2899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist