Healthcare Provider Details

I. General information

NPI: 1235994583
Provider Name (Legal Business Name): KUM SINGH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 09/02/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2621 W HORIZON RIDGE PKWY STE 110
HENDERSON NV
89052-2895
US

IV. Provider business mailing address

2621 W HORIZON RIDGE PKWY STE 110
HENDERSON NV
89052-2895
US

V. Phone/Fax

Practice location:
  • Phone: 725-220-3863
  • Fax: 843-408-4079
Mailing address:
  • Phone: 725-220-3863
  • Fax: 725-228-6427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIE PRICE
Title or Position: CEO
Credential:
Phone: 725-220-3863