Doctor Name: | MS. RHONDA K HUMMEL |
NPI Number: | 1326004904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1518 |
Business Practice Address: | 2222 W Iowa Ave Chickasha, OK - 730182738 |
Business Phone Number: | 4052248111 |
Business Fax Number: | |
Mailing Address: | Po Box 1069, CHICKASHA |
State: | OK |
Postal Code: | 730231069 |
Phone Number: | 4052248111 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2006 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 1518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |