Provider Demographics
NPI:1982447736
Name:NALUNKUUMA, KARIN M
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:M
Last Name:NALUNKUUMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15422 ARROWHEAD RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4873
Mailing Address - Country:US
Mailing Address - Phone:313-310-2632
Mailing Address - Fax:
Practice Address - Street 1:18487 PINE W
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48193-8322
Practice Address - Country:US
Practice Address - Phone:313-310-2632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health