Provider Demographics
NPI:1922752658
Name:RUMFORD, CINDY RAE (RN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:RAE
Last Name:RUMFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HAVERFORD PATH APT 5
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-2593
Mailing Address - Country:US
Mailing Address - Phone:606-584-1984
Mailing Address - Fax:
Practice Address - Street 1:102 HAVERFORD PATH APT 5
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-2593
Practice Address - Country:US
Practice Address - Phone:606-584-1984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1140667163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health