KELLY DEMUYNCK


Address: 4012 N 9th Ave, Pensacola, FL 32503-2824
Phone: 8504444777

KELLY DEMUYNCK (NPI# 1013337435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013337435
Entity Type Organization
Organization Name KELLY DEMUYNCK
Practice Address 4012 N 9th Ave
Pensacola
FL 32503-2824
Practice Telephone 8504444777
Practice Fax Number 8504343387
Mailing Telephone 8504444777
Mailing Fax Number 8504343387
Enumeration Date 2014-04-24
Last Update Date 2014-04-24
Authorized Official Name MADELYN RAYOS (ADMINISTRATIVE ASSISTANT)
Authorized Official Telephone 8504444777
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4012 N 9TH AVE
City PENSACOLA
State FL
Zip Code 32503-2824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366436362 Mark William Houston Physician Assistant 4012 N 9th Ave, Pensacola, FL 32503-2824 2005-09-06
1932756178 James R Piorkowski Md LLC Orthopaedic Surgery 4012 N 9th Ave, Pensacola, FL 32503-2824 2019-08-22
1689149692 Amanda Herron Physician Assistant 4012 N 9th Ave, Pensacola, FL 32503-2824 2018-10-05
1700386778 Ortho Florida, LLC Orthopaedic Surgery 4012 N 9th Ave, Pensacola, FL 32503-2824 2018-02-16
1194143685 Neuromicrospine Specialist 4012 N 9th Ave, Pensacola, FL 32503-2824 2014-04-01
1568690881 Mark Robert Onady II Surgery 4012 N 9th Ave, Pensacola, FL 32503-2824 2009-06-25
1588815948 Dawn M Hendrickson Occupational Therapy Assistant 4012 N 9th Ave, Pensacola, FL 32503-2824 2008-10-03
1467621599 James Robert Piorkowski Orthopaedic Surgery 4012 N 9th Ave, Pensacola, FL 32503-2824 2008-02-22
1568673663 Margaret C Brown Physician Assistant 4012 N 9th Ave, Pensacola, FL 32503-2824 2007-05-24
1265400717 Audrey G Bauer Surgery 4012 N 9th Ave, Pensacola, FL 32503-2824 2006-03-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134727472 Lauren Barrett Evans Nurse Practitioner 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 2020-10-09
1528666864 Kelsey Christine Kvartek Nurse Practitioner 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 2020-10-09
1730790551 Sacred Heart Hospital of Pensacola Podiatrist 1890 Summit Blvd, Pensacola, FL 32503 2020-08-14
1891312815 Sacred Heart Asc, LLC Clinic/Center 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 2020-06-26
1275011744 Teresa T Jansen Registered Nurse 5051 Carpenters Creek Dr, Pensacola, FL 32503 2018-08-06
1639662729 Florida Physical Therapy Services of Pensacola, LLC Occupational Therapist 428 Airport Blvd, Pensacola, FL 32503 2018-06-13
1922595123 Touch of Love Home Health Care LLC Home Health 139 E Burgess Rd Ste B, Pensacola, FL 32503 2018-04-13
1770012106 Amber Mcclellan Occupational Therapist 4551 North Davis Highway, Suite C, Pensacola, FL 32503 2017-06-08
1780123885 Corinne Georgette-marie Carlson Registered Nurse 6809 White Oak Drive, Pensacola, FL 32503 2017-02-22
1538615232 Kristin E Patton Dietitian, Registered 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 2016-09-01
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891123378 Donza First Assist Physician Assistant 7225 West Fairfield Dr., C-8, Pensacola, FL 32506-3488 2013-10-21
1174505788 Keith A Berens Physician Assistant 1717 North E Street, Suite 422, Pensacola, FL 32501-6339 2005-11-18
1366436362 Mark William Houston Physician Assistant 4012 N 9th Ave, Pensacola, FL 32503-2824 2005-09-06
1558355545 Anthony A Zembrzuski Physician Assistant 1717 N E St Ste 530, Pensacola, FL 32501 2005-09-06
1184171258 Madeliene Hill Physician Assistant 1717 N E St, Pensacola, FL 32501-6339 2016-09-07
1497112270 Sherri Peete Physician Assistant 1717 N E St, Pensacola, FL 32501-6339 2016-01-25
1447615554 Jessica Sinco Physician Assistant 1717 N E St, Suite 208, Pensacola, FL 32501-6339 2015-12-17
1538532692 Kaley Morris Physician Assistant 4724 N Davis Hwy, Pensacola, FL 32503 2015-11-10
1841607678 Brian Scott Lang Physician Assistant 1717 N E St Ste 205, Pensacola, FL 32501-6336 2014-07-14
1417290586 Jaclyn M Nietzer Physician Assistant 5151 N 9th Ave, Ste 200, Pensacola, FL 32504-8721 2013-03-27
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Competitor

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City PENSACOLA
Zip Code 32503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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