Individual
SARAH BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-1927
(859) 323-5603
(859) 323-3704
Mailing address
128 SOUTHLAND DR, LEXINGTON, KY 40503-1927
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
PA1622
KY
363A00000X
Physician Assistant
Primary
PA1622
KY
363AM0700X
Medical Physician Assistant
PA1622
KY
363AS0400X
Surgical Physician Assistant
PA1622
KY
Other
Enumeration date
06/28/2012
Last updated
11/11/2022
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