Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIMBERLY LOUISE BUMPER
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · OXFORD, NC
Registration Details
- NPI Number
- 1679606149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 14, 2007 (19.105970756321 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MHL-039-042 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 FROST STOXFORD, NC, 275653441Browse NC providers · Browse ZIP 27565
- Phone
- 1919693796
- Fax
- 1919693696
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.