Provider Demographics
NPI:1245201698
Name:KUMKE, KEVIN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:MICHAEL
Last Name:KUMKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:MADGAN ARMY MEDICAL CTR
Mailing Address - Street 2:JBLM
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98430-0001
Mailing Address - Country:US
Mailing Address - Phone:253-968-3214
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MEDICAL CTR
Practice Address - Street 2:JBLM
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98430-0001
Practice Address - Country:US
Practice Address - Phone:253-968-3214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD40747207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease