| NPI | 1811350770 |
|---|---|
| Doing Business As | KUMUDA FAMILY HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A JACKSON Owner/Provider 914-260-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 336506) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-30 |