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NPI Code Detail

MEDICARE: JARED LYNN KUMMER

MEDICARE:   JARED LYNN KUMMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2101Y00000XCounselor7372718-3501UT

General Provider Information

NPI Number : 1033447412
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED LYNN KUMMER
Provider Business Mailing Address
First Line : 152 N 400 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-5549
Country : US
Telephone Number : 435-283-8400
Fax Number :
Provider Business Practice Location Address
First Line : 152 N 400 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-5549
Country : US
Telephone Number : 435-283-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2009
Last Update Date : 10/17/2025

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Directions to “ JARED LYNN KUMMER ” Practice Location

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