Individual
MR. JASON KUMLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1033 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803-0401
(863) 680-7267
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101869
FL
Other
Enumeration date
11/10/2005
Last updated
04/10/2023
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