Kelly Dawkins Bumgardner, NP-C
NPI #1063178622 in Statesville, North Carolina
Provider Information
- NPI Number
- 1063178622
- Entity Type
- Individual
- Name
- Kelly Dawkins Bumgardner, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Nov 9, 2021
- Last Updated
- Mar 3, 2022
Practice Location
- Address
- 633 BROOKDALE DR STE 100
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28677-3471
- Phone
- (704) 873-7850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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