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Individual

PROF. KELLY JO LUMPKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502-2291
(423) 284-0005
Mailing address
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502-2291

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0000000155
TN

Other

Enumeration date
08/02/2017
Last updated
08/02/2017
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