Kyle George Mumford

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61459261 Issued in WA

Practice address

930 N Washington St Apt 118
Spokane, WA 99201-2245

Phone

(307) 272-5048

NPI assigned

Dec 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1427825728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N WASHINGTON ST APT 118",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N WASHINGTON ST APT 118",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012245",
            "telephone_number": "307-272-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "KYLE",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61459261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multicare Health System
• Suzanne Michelle Mulvey, PHARMD
• Robert Leonard Mulvihill, MD
• Susan Westcott Mulvihill, P.T.A.
• Gavin Mumford
• Zachary Matthew Munar, PT
• Cynthia J Muncey, RPH
• Lance Muncey, PHARM.D.
• Willis S Muncey, DC
• Sandy Munck

• Licensed Practical Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.