Individual
MS. KIMBERLY ANN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
743878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-1039939
ALL OTHER INSURANCES
NY
05
—
16-1039939
—
NY
Enumeration date
03/12/2010
Last updated
03/31/2021
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