KELLIE LEA MUMFORD

GAYLORD, MI
NPI1346496759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005363)
Enumeration Date2008-08-18
Last Update Date2020-12-23
Business Address
KELLIE LEA MUMFORD PA-C
2147 PROFESSIONAL DR
GAYLORD, MI 49735-0003
Phone number: 989-732-1753
Mailing Address
KELLIE LEA MUMFORD PA-C
829 N CENTER AVE SUITE 298
GAYLORD, MI 49735-1595
Phone number: 989-731-7708