Zakula, Kellen
Zakula, Kellen is an sole proprietor health care provider with primary practice located at 44 Hampstead Rd , Jamaica Plain MA 02130-3911. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Zakula, Kellen can be contacted via phone (218) 208-8134.Contact Information
Primary practice address
44 Hampstead Rd
Jamaica Plain MA 02130-3911
Phone: (218) 208-8134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA8601 | Massachusetts |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA8601 | Massachusetts |
Profile Details
| NPI number | 1801476981 |
|---|---|
| LBN Legal business name | Zakula, Kellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2021 |
| Last updated | Mar 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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