Individual
DR. KOFI OWUSU KUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 SGT PRENTISS DR, 100, NATCHEZ, MS 39120-4782
(601) 304-0020
(601) 304-0023
Mailing address
55 SGT PRENTISS DR, 100, NATCHEZ, MS 39120-4782
(601) 304-0020
(601) 304-0023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15330
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118246
—
MS
01
—
640892171
FEDERAL TAX ID
MS
Enumeration date
08/12/2006
Last updated
05/08/2013
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