MRS. KELLY M DURHAM (NPI# 1831148220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831148220 |
Entity Type | Individual |
Full Name | MRS. KELLY M DURHAM |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
4021 Balmoral Dr Sw Huntsville AL 35801-6403 |
Practice Telephone | 2565392741 |
Practice Fax Number | 2565392775 |
Mailing Telephone | 2565392741 |
Mailing Fax Number | 2565392775 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2009-04-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA437 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BC BS | 51531165 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326093956 | Kelly Rae Durham | Physician Assistant | 1106 Main Street Ext, Swansboro, NC 28584-9114 | 2006-05-23 |
Street Address |
4021 BALMORAL DR SW |
City | HUNTSVILLE |
State | AL |
Zip Code | 35801-6403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295712933 | Becky L Raby | Allergy & Immunology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6441 | 2005-12-23 |
1043735335 | Brittny White | Physician Assistant | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2017-08-08 |
1114343639 | Amber Harrison | Nurse Practitioner | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2014-03-07 |
1144499823 | Mary Dell Railey | Allergy & Immunology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2008-02-26 |
1245361831 | Kathryn L Wyatt | Nurse Practitioner | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2007-03-08 |
1972562213 | Dermatology Associates Pa | Dermatology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-03-23 |
1184683021 | Allergy,asthma and Clinical Immunology Specialists, P.C. | Specialist | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-03-20 |
1508844937 | Lon F Raby Jr. | Dermatology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-01-05 |
1316925944 | Mary Knight | Nurse Practitioner | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-01-04 |
1083692842 | Patricia J Wilson | Dermatology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-01-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
Find all providers in zip 35801 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
1144880774 | Anna Summerford | Physician Assistant | 7738b Madison Blvd, Huntsville, AL 35806-3659 | 2019-06-17 |
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
1891154894 | Nicolaus D Ruehl | Physician Assistant | 1963 Memorial Pkwy Sw Ste 24, Huntsville, AL 35801-5035 | 2016-02-18 |
1992194294 | Jacob Downey Dobbs | Physician Assistant | 13310 S Village Square Rd Se, Huntsville, AL 35803-3813 | 2015-01-09 |
1639575939 | Joseph Curry | Physician Assistant | 21 Fm 247 Rd, Huntsville, TX 77320-8701 | 2014-11-13 |
1164705513 | Besstina Lyles | Physician Assistant | 2227 Drake Ave Sw Ste 26, Huntsville, AL 35805-5146 | 2011-09-22 |
1174833107 | Whitaker Medical | Physician Assistant | 525 Madison St Se, Suite 203, Huntsville, AL 35801-4268 | 2010-10-08 |
1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
1730273673 | Mindy Smith Wilson | Physician Assistant | 1404 Toney Dr Se, Huntsville, AL 35802-1231 | 2006-10-03 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35801 |
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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.