Provider Demographics
NPI:1831452739
Name:KUM, FLORENCE CHUO
Entity type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:CHUO
Last Name:KUM
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 1:702 NORTHAMPTON DR
Mailing Address - Street 2:702
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2545
Mailing Address - Country:US
Mailing Address - Phone:240-704-4503
Mailing Address - Fax:
Practice Address - Street 1:702 NORTHAMPTON DR
Practice Address - Street 2:702
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2545
Practice Address - Country:US
Practice Address - Phone:240-704-4503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-17
Last Update Date:2012-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1243374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide