Provider Demographics
NPI:1235188681
Name:KUMAR, KALPANA M (MD)
Entity Type:Individual
Prefix:
First Name:KALPANA
Middle Name:M
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35581 FAREWAY LN
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-9288
Mailing Address - Country:US
Mailing Address - Phone:262-965-2703
Mailing Address - Fax:
Practice Address - Street 1:1166 QUAIL CT
Practice Address - Street 2:SUITE 210
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-3769
Practice Address - Country:US
Practice Address - Phone:262-695-5311
Practice Address - Fax:262-695-9744
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33178207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine