Provider Demographics
NPI:1679670947
Name:KUMM, JAMES W (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:KUMM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-1438
Mailing Address - Country:US
Mailing Address - Phone:515-832-2142
Mailing Address - Fax:515-832-2142
Practice Address - Street 1:639 2ND ST
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-1438
Practice Address - Country:US
Practice Address - Phone:515-832-2142
Practice Address - Fax:515-832-2142
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05846111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1118653Medicaid
IA40633OtherWELLMARK
IA40633OtherWELLMARK
IA1118653Medicaid