Healthcare Provider Details

I. General information

NPI: 1588395479
Provider Name (Legal Business Name): KAYMOL CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 ANDOVER ST
HARTFORD CT
06112-1402
US

IV. Provider business mailing address

45 ANDOVER ST
HARTFORD CT
06112-1402
US

V. Phone/Fax

Practice location:
  • Phone: 860-986-8908
  • Fax:
Mailing address:
  • Phone: 860-986-8908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ADESOLA TAIWO
Title or Position: PARTNER
Credential:
Phone: 860-986-8908