Provider Demographics
NPI:1346779824
Name:KIDS AND TUMMIES LLC
Entity Type:Organization
Organization Name:KIDS AND TUMMIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ULMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:228-222-4072
Mailing Address - Street 1:401 COWAN RD STE B
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-2022
Mailing Address - Country:US
Mailing Address - Phone:228-222-4072
Mailing Address - Fax:222-215-1205
Practice Address - Street 1:401 COWAN RD STE B
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-2022
Practice Address - Country:US
Practice Address - Phone:228-222-4072
Practice Address - Fax:222-215-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Multi-Specialty