Mumford, Kristen Marie

Mumford, Kristen Marie is an individual health care provider with primary practice located at 1925 W Park Dr , North Wilkesboro NC 28659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mumford, Kristen Marie can be contacted via phone (336) 903-0147.

Contact Information

Primary practice address
1925 W Park Dr North Wilkesboro NC 28659
Fax: (336) 903-1687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD441072 Pennsylvania

Profile Details

NPI number 1144344359
LBN Legal business name Mumford, Kristen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jan 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144344359 NPPES
North Carolina Other 2018-01668 STATE MEDICAL LICENSES

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