Provider Demographics
NPI:1457630303
Name:LANGAT, DANIEL KIMUTAI
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:KIMUTAI
Last Name:LANGAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1588 ENGLAND DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-6055
Mailing Address - Country:US
Mailing Address - Phone:614-396-7660
Mailing Address - Fax:
Practice Address - Street 1:1588 ENGLAND DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-6055
Practice Address - Country:US
Practice Address - Phone:614-396-7660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 125712164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse