Individual
NICOLE KUMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
761 45TH ST STE 110, MUNSTER, IN 46321-2899
(219) 922-3020
(219) 922-3023
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.004214
IL
133V00000X
Registered Dietitian
Primary
37003576A
IN
Other
Enumeration date
06/19/2009
Last updated
01/06/2023
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