Organization Active NPI

Kemunto Kakumba MD PLLC

  • Family Medicine Physician
  • Richland, WA
National Provider Identifier
1073746749
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00043180 Issued in WA
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

Updated by the provider on May 19, 2014

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8381832MedicaidWA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.