Provider Demographics
NPI:1720305253
Name:KAIKINI, KARA L (MS, IBCLC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:L
Last Name:KAIKINI
Suffix:
Gender:F
Credentials:MS, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WEST ST UNIT 8
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-1152
Mailing Address - Country:US
Mailing Address - Phone:207-619-3667
Mailing Address - Fax:
Practice Address - Street 1:18 WEST ST UNIT 8
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04032-1152
Practice Address - Country:US
Practice Address - Phone:207-619-3667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME10960714174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist