Individual
ELIJAH KIMUTAI CHUMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 205, ALLENTOWN, PA 18103-6271
(610) 402-9116
Mailing address
6007 PALOMINO DR, ALLENTOWN, PA 18106-3603
(585) 415-5057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN623561
PA
363LA2100X
Acute Care Nurse Practitioner
SP026878
PA
363LF0000X
Family Nurse Practitioner
F342461-1
NY
363LF0000X
Family Nurse Practitioner
SP018364
PA
363LF0000X
Family Nurse Practitioner
Primary
SP026878
PA
363LG0600X
Gerontology Nurse Practitioner
SP026878
PA
Other
Enumeration date
01/21/2018
Last updated
01/14/2025
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