Individual
NAMRATA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
673 E RIVER ST, ELYRIA, OH 44035
(440) 322-0872
(440) 322-4991
Mailing address
673 E RIVER ST, ELYRIA, OH 44035-5935
(440) 322-0872
(440) 322-4991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002624RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079922
—
OH
Enumeration date
12/20/2006
Last updated
05/07/2019
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