Individual
DR. JARYD KAUFMAN ZUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE STREET, ROOM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Mailing address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51762
KY
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
51762
KY
Other
Enumeration date
07/12/2012
Last updated
11/05/2018
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