Individual
KAYLA JEAN BUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 N 7TH ST STE 101, CHAMBERSBURG, PA 17201-1795
(717) 263-1220
(717) 263-6255
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 709-4718
(717) 217-4218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058068
PA
363AS0400X
Surgical Physician Assistant
MA058068
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103147241 0001
—
PA
Enumeration date
02/09/2016
Last updated
09/10/2021
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