Individual provider · Type 1 NPI

Kelly Dawkins Bumgardner, NP-C

Family Nurse Practitioner · Statesville, NC

NPI number 1063178622 Active

Practice location

633 Brookdale Dr Ste 100
Statesville, NC 28677-3471

Mailing address

PO Box 1845
Statesville, NC 28687-1845

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XBUMG-XQH6C (NC)
Family Nurse Practitioner Primary 363LF0000X5015740 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1063178622

Kelly Dawkins Bumgardner, NP-C's National Provider Identifier is 1063178622, issued on Nov 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Statesville, NC. The record was last updated on Mar 3, 2022.