Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 46924 | CO |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 46924 | CO |
NPI | 1265690531 |
---|---|
Provider Name | Jennifer L Kummer |
First Address | Greenwood Village, CO 80111-2803 |
Second Address | Greenwood Village, CO 80111-2803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 09/09/2011 |