Ohio
Board of Licensing
Kelly Johnson Bumgarner
Medical Board - 50.Physician Assistant
License number
50.003684
Date granted
12/20/2012
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
4343 All Seasons Drive, Suite: 140, Hilliard, OH 43026
ohiolicensing.org
ID 29523768
LAST UPDATED 2026-05-11 14:18:25 UTC
LAST UPDATED 2026-05-11 14:18:25 UTC