Active NPI
Kemunto Kakumba MD PLLC
- Family Medicine Physician
- Richland, WA
National Provider Identifier
1073746749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00043180
- Legal business name
- KEMUNTO KAKUMBA MD PLLC
- Practice address
- 1446 Spaulding Park
Suite 101
Richland, WA 99352-4720 - Phone
- (509) 628-2843
- Fax
- (509) 628-3843
- NPI assigned
- Aug 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kemunto Kakumba, MD
- Title
- Physician/Owner
- Phone
- (509) 628-2843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00043180 | WA | Primary |
Addresses
Primary practice location
1446 Spaulding Park
Suite 101
Richland, WA 99352-4720
Mailing address
1446 Spaulding Park
Suite 101
Richland, WA 99352-4720
Phone (509) 628-2843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8381832 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400457600000",
"number": "1073746749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1446 SPAULDING PARK",
"address_2": "SUITE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524720",
"telephone_number": "509-628-2843",
"fax_number": "509-628-3843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 SPAULDING PARK",
"address_2": "SUITE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524720",
"telephone_number": "509-628-2843",
"fax_number": "509-628-3843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEMUNTO KAKUMBA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-28",
"last_updated": "2014-05-19",
"status": "A",
"authorized_official_last_name": "KAKUMBA",
"authorized_official_first_name": "KEMUNTO",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "509-628-2843",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00043180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8381832",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.