Individual
P LUCY KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
(423) 722-2060
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 431-0512
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD24250
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516020
—
TN
Enumeration date
08/25/2005
Last updated
04/10/2019
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