| Doctor Name: | KIMBERLY N RUMPH |
| NPI Number: | 1720365455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 11-012637-1 |
| Business Practice Address: | 341 W 53rd Ln Merrillville, IN - 464101471 |
| Business Phone Number: | 2199739304 |
| Business Fax Number: | |
| Mailing Address: | Po Box 14104, MERRILLVILLE |
| State: | IN |
| Postal Code: | 464114104 |
| Phone Number: | 2199739304 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2011 |
| NPI Last Update Date: | 11/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 11-012637-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |