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Kumpol Dennison, MD
General Practice Physician in Valparaiso, Indiana
NPI 1275887770

Kumpol Dennison is a General Practice Physician based in Valparaiso, IN. Kumpol Dennison practices in Valparaiso, IN and has the professional credentials of MD. The NPI Number for Kumpol Dennison is 1275887770 and holds a License No. 01071776A (Indiana).

The current practice location address for Kumpol Dennison is 44 Kilmartin Ct, Valparaiso, IN and can be reached out via phone at 219-688-3950.

Location: 44 Kilmartin Ct, Valparaiso, IN, 46385-9304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275887770
Provider Name
Kumpol Dennison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
44 Kilmartin Ct, Valparaiso, IN, 46385-9304
Phone Number
219-688-3950
Fax Number
Provider Enumeration Date
11/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100142380 05 IN
institution
Provider Business Practice Location Address Details
Address
44 Kilmartin Ct
City
Valparaiso
State
Indiana
Zip
46385-9304
Phone Number
219-688-3950
Fax Number
person
Provider Business Mailing Address Details
Address
44 Kilmartin Ct
City
Valparaiso
State
Indiana
Zip
46385-9304
Phone Number
219-688-3950
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
01071776A (Indiana)
Definition
Definition to come...
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