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Individual

DR. RANDAL C KUMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3920 N UNION BLVD, COLORADO SPRINGS, CO 80907-4900
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
49833
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023732
KAISER COMMERCIAL NUMBER
CO
05
11431385
CO
Enumeration date
05/23/2006
Last updated
11/17/2022
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