Individual
EILEEN MARIE KUMMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11087 MAIN ST, MARTIN, KY 41649-7999
(606) 285-3690
(606) 285-6769
Mailing address
100 E LIBERTY ST, STE 800, LOUISVILLE, KY 40202-1434
(606) 285-3690
(606) 285-6769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01716747
—
PA
05
—
7100310340
—
KY
Enumeration date
06/15/2006
Last updated
06/29/2015
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