Individual
KIMBERLY FAUKE KAKOOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 N HUMPHREYS ST STE 104, FLAGSTAFF, AZ 86001-3124
(928) 779-3844
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.018538
IL
363L00000X
Nurse Practitioner
277002831
IL
363L00000X
Nurse Practitioner
Primary
337491
AZ
Other
Enumeration date
01/10/2019
Last updated
06/03/2026
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