Individual
DR. KRISTEN MARIE MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 W PARK DR, NORTH WILKESBORO, NC 28659
(336) 903-0147
(336) 903-1687
Mailing address
1925 W PARK DR, NORTH WILKESBORO, NC 28659-3564
(336) 903-0147
(336) 903-1687
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD441072
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018-01668
STATE MEDICAL LICENSES
NC
Enumeration date
03/16/2007
Last updated
01/16/2019
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