| Organization Name: | KAJAAL MEDICAL SERVICES INC |
| NPI Number: | 1477734234 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCIA KODAN (ARNP) |
| Mailing Address: | 1701 Ne 191st St Suite # A401 N Miami Beach |
| State: | FL US |
| Postal Code: | 331794200 |
| Phone Number: | 3055884258 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2007 |
| NPI Last Update Date: | 07/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 363LP0808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |