Kim Marie Kummrow, SFA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

9000 W Wisconsin Ave Ste 360
Milwaukee, WI 53226-4874

Phone

(414) 337-7300

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kim Marie Leick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1124673611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W340N6697 TIMBERLINE RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE STE 360",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-337-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMMROW",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "credential": "SFA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "LEICK",
            "middle_name": "MARIE",
            "credential": "SFA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nilay Kumar, M.D., M.P.H
• Renuka Lingam Kumar, M.D.
• Shiva Kumar, MD
• Swati Kumar, M.D.
• Corrin Kummet, LPTA
• Robert John Kunde, RPH
• Scott A. Kunkel, CRNA
• Mary Jo Kupst, PHD
• Morgan Nicole Kuptz, APSW
• Bhavani Kura, M.D.

• Surgical Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Surgical Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.