Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Johnson Bumgarner

Individual provider Medical Physician Assistant · NPI 1760754683

Kelly Johnson Bumgarner is a Medical Physician Assistant in Dublin, Ohio. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012

Practice location Address checks out

5720 Blazer Pkwy
Dublin, OH 43017-3566
Phone: (614) 761-1151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110003813 (VA)

Record details

NPI number1760754683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2012
Last updated in NPPESJuly 16, 2015

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