Kumm, Jackie D

Kumm, Jackie D is an individual health care provider with primary practice located at 2820 E Rock Haven Rd Ste 210 , Harrisonville MO 64701-4414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kumm, Jackie D can be contacted via phone (816) 380-7470.

Contact Information

Primary practice address
2820 E Rock Haven Rd Ste 210 Harrisonville MO 64701-4414
Phone: (816) 380-7470
Fax: (816) 380-3291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 132116 Missouri

Profile Details

NPI number 1194959510
LBN Legal business name Kumm, Jackie D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2009
Last updated Dec 31st, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194959510 NPPES
Missouri Other 132116 LICENSE NUMBER

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