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NPI Code Detail

MEDICARE: DR. AMY KUMAGAI D.O.

MEDICARE: DR. AMY KUMAGAI D.O.
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
1207P00000XEmergency Medicine Physician02784IA

General Provider Information

NPI Number : 1477544286
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY KUMAGAI D.O.
Provider Business Mailing Address
First Line : PO BOX 79
Second Line :
City : ANKENY
State : IA
Zip : 50021-0079
Country : US
Telephone Number : 515-965-6926
Fax Number :
Provider Business Practice Location Address
First Line : 1001 PENNSYLVANIA AVE
Second Line :
City : OTTUMWA
State : IA
Zip : 52501-6427
Country : US
Telephone Number : 641-684-2402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2005
Last Update Date : 07/08/2007

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Directions to “ DR. AMY KUMAGAI D.O.” Practice Location

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