Individual
TIMOTHY M KUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1786 GOLDEN MILE RD, SUITE 1, TOWANDA, PA 18848-9733
(570) 265-7700
(570) 268-4266
Mailing address
PO BOX 376, WYSOX, PA 18854-0376
(570) 265-7700
(570) 268-4266
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003249L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001964262
—
PA
Enumeration date
06/10/2005
Last updated
04/17/2013
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