Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY M BUMGARNER, PA-C
ActiveMRS. KELLY M BUMGARNER, PA-C is a Physician Assistant healthcare provider located in JACKSONVILLE BEACH, Florida. NPI 1548714728 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JACKSONVILLE BEACH, FL
Registration Details
- NPI Number
- 1548714728
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2016 (10.037853199343 yrs)
- Last Updated
- Nov 13, 2025
- License
-
PA9109484 (FL)
Practice Information
- Address
-
1320 ROBERTS DR STE 101JACKSONVILLE BEACH, FL, 322503253Browse FL providers · Browse ZIP 32250
- Phone
- 9042417147
- Fax
- 9043763213
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JACKSONVILLE BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MS. INGRID LAURINAITIS | P.A.-C | 1003867656 |
| MICHAEL D KRING | PA | 1275722266 |
| LORI A AUSTIN-MCDONALD | PA-C | 1699959205 |
| MR. NICOLAS CHARLES CONDREY | PA-C | 1659548949 |
| HAZELINE KATHERINE MCCABE | PA | 1912138512 |
| ASHLEY SALIBA HILL | PA-C | 1134548167 |
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.