KELLY A HOUMAND


Address: 111 Marble Mill Rd Nw, Marietta, GA 30060-1047
Phone: 7704221013

KELLY A HOUMAND (NPI# 1164795241) 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) 1164795241
Entity Type Individual
Full Name KELLY A HOUMAND
Credential P.A.-C
Practice Address 111 Marble Mill Rd Nw
Marietta
GA 30060-1047
Practice Telephone 7704221013
Practice Fax Number 7705145996
Mailing Telephone (770) 422-1013
Mailing Fax Number 7705145996
Enumeration Date 2012-02-20
Last Update Date 2017-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA0254 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 111 MARBLE MILL RD NW
City MARIETTA
State GA
Zip Code 30060-1047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619933249 Seth A Yellin Otolaryngology 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2006-04-22
1417360322 Jessica Crabbe Harris Dermatology 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2014-06-09
1295099745 Jennifer Rose Liechty Nurse Practitioner 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2012-06-29
1184938797 Lisa W Hill Physician Assistant 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2010-08-06
1750608758 Adam Perry Dermatology 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2010-04-29
1497082929 Jamie Lynn Bosma Groh Dermatology 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2009-11-04
1548383292 Elizabeth E Richwine Dermatology 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2007-04-09
1710029277 Shana Boyd Hackworth Physician Assistant 111 Marble Mill Rd Nw, Marietta Dermatology Associates Pa, Marietta, GA 30060-1047 2007-02-13
1235283219 Patricia Anne Flynn Physician Assistant 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2007-01-23
1417007212 Marietta Dermatology Associates Pa Dermatology 111 Marble Mill Rd Nw, Marietta Dermatology Associates Pa, Marietta, GA 30060-1047 2007-01-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518596733 Rebecca Faye Tsyrlin Physician Assistant 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 2020-04-08
1447727094 Klara Lisy Physician Assistant 711 Canton Road, Suite 300, Marietta, GA 30060 2018-10-31
1770021958 Sarah Miller Physician Assistant 2550 Windy Hill Rd Se Ste 200, Marietta, GA 30067-8654 2017-02-07
1972925709 Jawauna Smith Physician Assistant 4343 Shallowford Rd Ste B4a, Marietta, GA 30062-5003 2014-01-14
1841611852 Emily Hannah Johnson Physician Assistant 61 Whitcher St Ste 2100, Marietta, GA 30060 2013-12-17
1225464738 Ashley D Lockhart Physician Assistant 400 Matthew St Ste 200, Marietta, OH 45750-1633 2013-09-17
1568593788 Felicity A Devaughn Physician Assistant 790 Church St Ne Ste 510, Marietta, GA 30060-8957 2007-03-08
1346359585 Alice Fair Franklin Physician Assistant 835 Cogburn Ave Nw Ste 100, Marietta, GA 30060-1008 2006-08-30
1013567452 Megan Nichole Dalton Physician Assistant 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 2019-09-18
1356900757 Megan Marie Johnson Physician Assistant 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 2019-06-10
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Competitor

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City MARIETTA
Zip Code 30060

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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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