KERRY MULLENIX (NPI# 1467993410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467993410 |
| Entity Type | Individual |
| Full Name | KERRY MULLENIX |
| Credential | PT, SCS, LAT, ATC |
| Practice Address |
120 Whitford Dr Durham NC 27708-9982 |
| Mailing Address |
4323 Hope Valley Dr Hillsborough NC 27278-7324 |
| Practice Telephone | 9196842707 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
P6771 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
120 WHITFORD DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27708-9982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646893 | Kyle Garber Beatty | Specialist/Technologist | 120 Whitford Dr, Yoh Football Center, Durham, NC 27708-9982 | 2006-04-04 |
| 1023518156 | Jillian Gonyea | Specialist/Technologist | 120 Whitford Dr, Durham, NC 27708 | 2018-02-15 |
| 1851819106 | Susanna Shivers | Specialist/Technologist | 120 Whitford Dr, Durham, NC 27708-9982 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306129952 | Ellen Kay Hawk | Pharmacist | 305 Towerview Dr, Durham, NC 27708 | 2011-09-20 |
| 1134625262 | Latoya S Adkins | Social Worker | 305 Towerview Dr, Durham, NC 27708 | 2018-04-05 |
| 1194346080 | Kristina Hall | Specialist/Technologist | 110 Whitford Dr Murray Athletic Training Room, Durham, NC 27708-0001 | 2020-05-01 |
| 1760018113 | Devin Demyanovich | Specialist/Technologist | 110 Whitford Drive Wd Murray Building Rm 212, Durham, NC 27708-0001 | 2020-03-18 |
| 1891033387 | Guiling Yang | Nurse Practitioner | Duke University Outpatient 1a, Durham, NC 27708-0001 | 2013-01-18 |
| 1215135975 | Nicholas Daniel Potter | Physical Therapist | 118 Cameron Indoor Stadium, Box 90555, Durham, NC 27708-0001 | 2007-07-04 |
| 1265442743 | Julianne Murdoch O'daniel | Genetic Counselor, MS | 101 Science Dr, Suite 2120, Duke Univ Box 3382, Durham, NC 27708-0001 | 2006-08-08 |
| 1376565408 | Jose Fonseca | Specialist/Technologist | Duke University, 118 Cameron Indoor Stadium, Durham, NC 27708-0001 | 2006-07-25 |
| 1093332637 | Ann Hill | Dietitian, Registered | 20 Duke Medicine Circle, Durham, NC 27708-0001 | 2020-06-30 |
| 1306041389 | Ronald Monroe Batson | Psychiatry & Neurology | 9 Flowers Dr, Box 90085, Durham, NC 27708-0001 | 2007-06-19 |
| Find all providers in zip 27708 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1760923775 | Thomas Moore II | Physical Therapist | 5100 Paschall Dr, Durham, NC 27705-8534 | 2017-03-10 |
| 1588940381 | James Edward Fernandes | Physical Therapist | Finch Yeager Building, Durham, NC 27710-0001 | 2011-10-25 |
| 1215135975 | Nicholas Daniel Potter | Physical Therapist | 118 Cameron Indoor Stadium, Box 90555, Durham, NC 27708-0001 | 2007-07-04 |
| 1780236257 | Drew Henry Lukes | Physical Therapist | 3475 Erwin Rd, Durham, NC 27705-0005 | 2019-07-15 |
| 1922549088 | Brett Matthew Aefsky | Physical Therapist | 110 Whitford Dr, Durham, NC 27710-0001 | 2017-03-09 |
| 1477093581 | Brian Wurzinger | Physical Therapist | 3475 Erwin Rd, Pepsico Building, Durham, NC 27705-0005 | 2017-03-08 |
| 1902346026 | John Magill | Physical Therapist | 3475 Erwin Rd, Durham, NC 27705-0005 | 2017-03-08 |
| 1730625401 | Tyler Cope | Physical Therapist | 3475 Erwin Rd, Durham, NC 27705-0005 | 2017-01-18 |
| 1548474851 | Athletic Advantage, Inc. | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-05-09 |
| Find all providers in DURHAM | ||||
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| 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.