| NPI | 1073746749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMUNTO KAKUMBA Physician/Owner 509-628-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00043180) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2014-05-19 |