Individual
MRS. KATHY P LUMPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2073 FREEPORT RD NW, DALTON, GA 30720-6958
(706) 281-2123
Mailing address
2073 FREEPORT RD NW, DALTON, GA 30720-6958
(706) 281-2123
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
0000041282
GA
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
0000041282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122523A
—
GA
01
—
9763354
CIGNA INSURANCE
GA
Enumeration date
03/21/2012
Last updated
09/19/2014
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