Provider Demographics
NPI:1720752314
Name:KAMUMO, THOMAS NYOTA (PA)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:NYOTA
Last Name:KAMUMO
Suffix:
Gender:M
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:918-542-6611
Mailing Address - Fax:918-540-7709
Practice Address - Street 1:310 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-6743
Practice Address - Country:US
Practice Address - Phone:918-542-6611
Practice Address - Fax:918-540-7709
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2025-05-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant