Provider Demographics
NPI:1013672435
Name:LAIKUPU, KEOHIKAI MICHAEL (NP)
Entity type:Individual
Prefix:
First Name:KEOHIKAI
Middle Name:MICHAEL
Last Name:LAIKUPU
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SACO AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:OLD ORCHARD BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:04064-1623
Mailing Address - Country:US
Mailing Address - Phone:207-937-9254
Mailing Address - Fax:
Practice Address - Street 1:155 SACO AVE STE 2A
Practice Address - Street 2:
Practice Address - City:OLD ORCHARD BEACH
Practice Address - State:ME
Practice Address - Zip Code:04064-1623
Practice Address - Country:US
Practice Address - Phone:207-937-8254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-87374163W00000X
MERN-83873163W00000X
HIAPRN-3369363LP2300X
MECNP-221606363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse