KELLY VINCENT DAUENHEIMER


Address: 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767
Phone: 2516338880

KELLY VINCENT DAUENHEIMER (NPI# 1518424266) 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) 1518424266
Entity Type Individual
Full Name KELLY VINCENT DAUENHEIMER
Credential CRNP
Practice Address 6701 Airport Blvd Ste A101
Mobile
AL 36608-6767
Practice Telephone 2516338880
Mailing Telephone 2516338880
Enumeration Date 2019-02-28
Last Update Date 2019-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
1-144593 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6701 AIRPORT BLVD STE A101
City MOBILE
State AL
Zip Code 36608-6767

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043264294 Carmen P May Nurse Practitioner 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2006-05-20
1790384196 Jill Gates Nurse Practitioner 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2020-10-19
1578178943 Deanna Willyerd Nurse Practitioner 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2020-09-13
1750993945 Brittany M Wilson Nurse Practitioner 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2020-08-19
1770118622 Brooke Gacek Dietitian, Registered 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2020-03-10
1699307942 Breanne Curtis Bishop Nurse Practitioner 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2020-02-05
1194201277 Clay Sheffield Agee Nurse Practitioner 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2018-07-12
1124529870 University of South Alabama Health Care Authority Physician Billing Co Clinic/Center 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2018-02-27
1174919153 Adam Herring Internal Medicine 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2015-04-07
1821406026 Rosanne B. Wilson Nurse Practitioner 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 2014-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475524 Grantham Dental, Inc. Dentist 3620 Springhill Memorial Drive South, Mobile, AL 36608 2020-10-21
1114540879 Dearrius Hines Home Health Aide 1370 Lucerne Dr, Mobile, AL 36608 2020-05-28
1558980409 Rachel Stevens Registered Nurse 8507 Tanner Williams Rd, Mobile, AL 36608 2020-04-10
1073170700 Usa Health Physician Billing Services LLC Otolaryngology 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 2019-05-29
1952885600 Franklin Primary Health Center Inc. Dentist 990 Cody Rd North, Mobile, AL 36608 2018-09-19
1114410040 Zackary Elkins Optometrist 105 W I65 Service Rd N, Mobile, AL 36608 2018-06-14
1023562865 Covenant Hospice, Inc. Internal Medicine 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 2016-08-10
1730575416 Rayven Likely Student in an Organized Health Care Education/Training Program 1014 Centerwood Dr, Mobile, AL 36608 2015-04-09
1598040461 Robert S Harlin Specialist 75 Clarise Circle, Mobile, AL 36608 2011-10-11
1972884948 Heidi Michelle Mcdermott Physical Therapist 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 2011-09-06
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386206688 Tasha Latiya Jones Nurse Practitioner 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 2019-07-08
1760843981 Tatianne Bell Nurse Practitioner 3862 Cypress Shores Dr N, Mobile, AL 36619-9713 2016-03-15
1639298540 Linda Sullivan Nurse Practitioner 210 Government St, Mobile, AL 36602-2614 2007-03-29
1518924828 Kim Havas Nurse Practitioner 3737 Government Blvd, Ste 408, Mobile, AL 36693-4308 2006-04-28
1922623453 Anna Katherine Leurck Nurse Practitioner 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 2020-06-10
1598310740 Mary Jane Smith Nurse Practitioner 3750 Professional Pkwy, Mobile, AL 36609-5407 2019-08-05
1043774664 Rachael Hughes Taylor Nurse Practitioner 22 Mobile St, Mobile, AL 36607-3121 2019-01-28
1750888921 Roselee Roxane Fenley Nurse Practitioner 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 2018-04-12
1477059392 Zakiyyah Jones Nurse Practitioner 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 2018-03-30
1356872212 Paul Ryland Murden Nurse Practitioner 5 Mobile Infirmary Cir, Psych Services, Mobile, AL 36607-3513 2017-03-22
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Competitor

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City MOBILE
Zip Code 36608

Improve Information

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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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