Kimberly Renee Akins-Mumphard
Specialist, Prosthetics Case Management in Belleville, IL. Individual provider (NPI-1).
NPI number1063284792
StatusActive
Last updated in NPPESOct 25, 2023
Details
- NPI
- 1063284792
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Renee Akins-Mumphard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2023
- Certification date
- Oct 25, 2023
- Last updated
- Oct 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | 012007514 | IL | Yes |
| 1744P3200X | Specialist, Prosthetics Case Management | – | – |
Practice location
519 Springdale DrBelleville, IL 62223-4218
Phone 618-623-5318
Mailing address
519 Springdale DrBelleville, IL 62223-4218
Phone 618-623-5318
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