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

KELLIE LEA MUMFORD, PA-C

Active

KELLIE LEA MUMFORD, PA-C is a Physician Assistant healthcare provider located in GAYLORD, Michigan. NPI 1346496759 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GAYLORD, MI

Registration Details

NPI Number
1346496759
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2008 (17.986216046474 yrs)
Last Updated
Dec 23, 2020
License
5601005363 (MI)

Practice Information

Address
2147 PROFESSIONAL DR
GAYLORD, MI, 497350003
Browse MI providers · Browse ZIP 49735
Phone
9897321753
Fax
9897311425
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GAYLORD, MI

Name Credential NPI
HOLLY AYN CRONKRIGHT PAC 1497743264
MS. SHELLY R SLIVINSKI PA-C 1770568248
JAMES A SWARTZ PA-C 1528028206
SHANNON CHRISTINE GABEL PA-C 1821038217
RENEE DEANNE MESACK P.A.-C 1629005111
JULIA ANN SAMALIK P.A. 1407887649
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.