Individual
AMELIA SHANE MCCUMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
418 E 5TH ST, POB 403, ATKINSON, NE 68713-4885
(402) 925-2994
(402) 924-3996
Mailing address
PO BOX 70, STUART, NE 68780-0070
(402) 924-3777
(402) 924-3776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1980
NE
Other
Enumeration date
01/20/2016
Last updated
02/07/2017
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