Organization
KIMBERLY S. UMHOEFER DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SUE UMHOEFER DO (PHYSICIAN OWNER)
(740) 355-8930
Entity
Organization
Contact information
Practice address
1729 KINNEYS LN, SUITE 201, PORTSMOUTH, OH 45662-3165
(740) 355-8930
(740) 354-2936
Mailing address
1729 KINNEYS LN, SUITE 201, PORTSMOUTH, OH 45662-3165
(740) 355-8930
(740) 354-2936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-00-7109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337972
BCBS
OH
05
—
2119326
—
OH
01
—
36278546300
WORKERS COMP
OH
01
—
362785463012
MEDICAL MUTUAL
OH
01
—
P00174556
RAILROAD MEDICARE
—
Enumeration date
08/31/2006
Last updated
07/08/2016
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