Organization
PRADEEP G. KUMAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP GOPI KUMAR MD (OWNER)
(262) 654-0226
Entity
Organization
Contact information
Practice address
3734 7TH AVE, SUITE 1, KENOSHA, WI 53140-5525
(262) 654-0226
(262) 654-0232
Mailing address
3734 7TH AVE, SUITE 1, KENOSHA, WI 53140-5525
(262) 654-0226
(262) 654-0232
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2008
Last updated
01/05/2008
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