Provider Demographics
NPI:1720230204
Name:KAKAMFO, ARIMOLA OKENLA (NURSE RN)
Entity Type:Individual
Prefix:
First Name:ARIMOLA
Middle Name:OKENLA
Last Name:KAKAMFO
Suffix:
Gender:F
Credentials:NURSE RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 WEST ST
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-1529
Mailing Address - Country:US
Mailing Address - Phone:617-230-9945
Mailing Address - Fax:760-888-9375
Practice Address - Street 1:146 WEST ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-1529
Practice Address - Country:US
Practice Address - Phone:617-230-9945
Practice Address - Fax:760-888-9375
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA275042374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel