Provider Demographics
NPI:1417361874
Name:RUMMEL, FLORA
Entity Type:Individual
Prefix:MRS
First Name:FLORA
Middle Name:
Last Name:RUMMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 HACKBERRY DR
Mailing Address - Street 2:
Mailing Address - City:QUINTER
Mailing Address - State:KS
Mailing Address - Zip Code:67752-9789
Mailing Address - Country:US
Mailing Address - Phone:785-953-0001
Mailing Address - Fax:
Practice Address - Street 1:19 HACKBERRY DR
Practice Address - Street 2:
Practice Address - City:QUINTER
Practice Address - State:KS
Practice Address - Zip Code:67752-9789
Practice Address - Country:US
Practice Address - Phone:785-953-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician