Individual
AMY JO KUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8 LEE ST, MOOREFIELD, WV 26836-1091
(304) 538-7707
Mailing address
8 LEE ST, MOOREFIELD, WV 26836-1091
(304) 538-7707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00964
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689632887
NPI
—
05
—
3810000548
—
WV
Enumeration date
05/04/2006
Last updated
04/28/2015
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