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NPI Code Detail

MEDICARE: DR. PURNIMA KUMAR PH.D.

MEDICARE: DR. PURNIMA KUMAR PH.D.
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
1103T00000XPsychologistPY5808FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013055359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PURNIMA KUMAR PH.D.
Provider Business Mailing Address
First Line : 4615 REED BARK LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-1876
Country : US
Telephone Number : 904-399-0324
Fax Number : 904-399-0420
Provider Business Practice Location Address
First Line : 5251 EMERSON ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-4932
Country : US
Telephone Number : 904-399-0324
Fax Number : 904-399-0420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 11/08/2016

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Directions to “ DR. PURNIMA KUMAR PH.D.” Practice Location

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