Individual
DR. REX E. KUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 BLUE BEECH WAY, CHESAPEAKE, VA 23320-3811
(757) 547-0210
Mailing address
420 BLUE BEECH WAY, CHESAPEAKE, VA 23320-3811
(757) 547-0210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-062162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062162 1
—
IL
01
—
279500
MEDICARE GROUP
—
01
—
370001206
RAILROAD MEDICARE
—
Enumeration date
07/31/2006
Last updated
05/24/2013
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