Provider Demographics
NPI:1356131395
Name:KUMM, MALAINIE CHERYL
Entity type:Individual
Prefix:
First Name:MALAINIE
Middle Name:CHERYL
Last Name:KUMM
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 1:2510 N CLARKSON ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2370
Mailing Address - Country:US
Mailing Address - Phone:402-727-4848
Mailing Address - Fax:
Practice Address - Street 1:2510 N CLARKSON ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2370
Practice Address - Country:US
Practice Address - Phone:402-727-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor