Individual
KADIJATU KAKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1650 COCHRANE CIRCLE, FORT CARSON, CO 80913
(719) 526-6767
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-6767
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
MD
363LF0000X
Family Nurse Practitioner
Primary
APN.0994700-NP
CO
Other
Enumeration date
07/24/2012
Last updated
10/25/2020
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