Provider Demographics
NPI:1720896384
Name:KAMAU, SAMUEL (LVN)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:KAMAU
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7275 BOW BRIDGE WALK
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-7585
Mailing Address - Country:US
Mailing Address - Phone:574-747-1900
Mailing Address - Fax:
Practice Address - Street 1:7275 BOW BRIDGE WALK
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-7585
Practice Address - Country:US
Practice Address - Phone:574-747-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA685196164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse