Individual
DR. KELLY BUMPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1932 ALCOA HIGHWAY SUITE C 480, KNOXVILLE FOOTCARE, KNOXVILLE, TN 37920
(865) 632-5700
Mailing address
1932 ALCOA HWY, SUITE C480, KNOXVILLE, TN 37920-1527
(865) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
760
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007417
—
TN
Enumeration date
04/26/2011
Last updated
11/23/2015
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