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Organization

KIMBERLY AKINS-MUMPHARD

Active
Other names
Kimberly Akins-Mumphard
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY RENEE AKINS-MUMPHARD (PROSTHETIC)
(618) 623-5318
Entity
Organization

Contact information

Practice address
5720 N BELT W STE 20-104, BELLEVILLE, IL 62226-4661
(618) 623-5318
Mailing address
5720 N BELT W # 20-104, BELLEVILLE, IL 62226-4661
(618) 623-5318

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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