Healthcare Provider Details

I. General information

NPI: 1255534731
Provider Name (Legal Business Name): ARTHUR L KUMPF II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 DELAWARE AVE
MARION OH
43302-6416
US

IV. Provider business mailing address

# L-3549
COLUMBUS OH
43260-0001
US

V. Phone/Fax

Practice location:
  • Phone: 740-375-6498
  • Fax: 740-375-6499
Mailing address:
  • Phone: 740-383-7927
  • Fax: 740-383-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number35094529
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: