1659055713 NPI number — KELSIE RENEA LUMMUS

Table of content: KELSIE RENEA LUMMUS (NPI 1659055713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659055713 NPI number — KELSIE RENEA LUMMUS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUMMUS
Provider First Name:
KELSIE
Provider Middle Name:
RENEA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MAGGARD
Provider Other First Name:
KELSIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1659055713
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 COUNTY ROAD 701
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEAGUE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75860-3013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-723-7136
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 COUNTY ROAD 701
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEAGUE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75860-3013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-723-7136
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  215431 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)