Individual
KYLE GEORGE MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 N WASHINGTON ST APT 118, SPOKANE, WA 99201-2245
(307) 272-5048
Mailing address
930 N WASHINGTON ST APT 118, SPOKANE, WA 99201-2245
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61459261
WA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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