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NPI Code Detail

MEDICARE: KEIRA KAY STUMP LPN

MEDICARE:   KEIRA KAY STUMP  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse98307NC

General Provider Information

NPI Number : 1649133356
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEIRA KAY STUMP LPN
Provider Business Mailing Address
First Line : 1895 E DIXON BLVD
Second Line :
City : SHELBY
State : NC
Zip : 28152-6901
Country : US
Telephone Number : 980-306-4201
Fax Number : 704-445-7016
Provider Business Practice Location Address
First Line : 1895 E DIXON BLVD
Second Line :
City : SHELBY
State : NC
Zip : 28152-6901
Country : US
Telephone Number : 980-306-4201
Fax Number : 704-445-7016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ KEIRA KAY STUMP LPN” Practice Location

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