Individual
KEVIN F SUMPTION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1312 W ARCH HAVEN AVE STE A, BLOOMINGTON, IN 47403-2088
(812) 676-4144
(812) 339-8344
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101054012
VA
207RC0000X
Cardiovascular Disease Physician
Primary
01084554A
IN
Other
Enumeration date
06/11/2007
Last updated
03/16/2021
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