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
Phone: (336) 903-0147
Fax: (336) 903-1687
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144344359 | NPPES |
| North Carolina | Other | 2018-01668 | STATE MEDICAL LICENSES |
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