Individual
POORNIMA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1416 WEST FIRST STREET, SPRINGFIELD, OH 45504-1923
(937) 322-1700
(937) 322-8070
Mailing address
1416 WEST FIRST STREET, SPRINGFIELD, OH 45504-1923
(937) 322-1700
(937) 322-8070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1075639
PA
363A00000X
Physician Assistant
Primary
50002762
OH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/25/2008
Last updated
07/29/2008
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