| Doctor Name: | JOANNA KUMAR |
| NPI Number: | 1003186883 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 95036180 |
| Business Practice Address: | 550 E Washington Blvd Crescent City, CA - 955318160 |
| Business Phone Number: | 7074656925 |
| Business Fax Number: | 7074656070 |
| Mailing Address: | 670 9th Street, Suite 203 ARCATA |
| State: | CA |
| Postal Code: | 955216249 |
| Phone Number: | 7078268633 |
| Fax Number: | 7078268638 |
| NPI Enumeration Date: | 01/10/2012 |
| NPI Last Update Date: | 10/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95036180 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |