Provider Demographics
NPI:1548398753
Name:KARIUKI, TONY (RN)
Entity Type:Individual
Prefix:MR
First Name:TONY
Middle Name:
Last Name:KARIUKI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4019 N 111TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-3576
Mailing Address - Country:US
Mailing Address - Phone:913-721-9929
Mailing Address - Fax:913-721-1527
Practice Address - Street 1:4019 N 111TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66109-3576
Practice Address - Country:US
Practice Address - Phone:913-721-9929
Practice Address - Fax:913-721-1527
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSK01-31-6516172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver