Individual
KIRSTEN BOURKE DUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123
(858) 966-5855
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
C156520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34729600
MA
WI
05
—
578632000
—
MN
Enumeration date
05/03/2006
Last updated
08/21/2018
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