Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK KIMUCHU

Active Sole Proprietor

Bus · CORINTH, TX

Registration Details

NPI Number: 1487130068
Provider Type: Individual
Gender: Male
NPI Issued: Jul 17, 2018 (7.7647957264522 yrs)
Last Updated: Jul 17, 2018
Sole Proprietor: Yes

Practice Information

Address: 4509 SUNNY OAK LN

CORINTH, TX, 762084801
Browse TX providers · Browse ZIP 76208
Phone: 2144301260
Primary Specialty: Bus
343900000X
Additional Specialty: Bus

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.