Kadiatou Souko, LPN
Licensed Practical Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1245645142
StatusActive
Last updated in NPPESJun 30, 2014
Details
- NPI
- 1245645142
- Entity type
- Individual (NPI-1)
- Name
- Kadiatou Souko
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2014
- Last updated
- Jun 30, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 309734 | NY | Yes |
Practice location
2052 Tillotson Ave, Suite 102Bronx, NY 10451
Phone 718-671-2100
Mailing address
3000 Park Ave # 4lBronx, NY 10451
Phone 347-247-7860
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,770 Licensed Practical Nurse providers in Bronx · All 38,045 providers in Bronx
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