MRS. KELLY M DURHAM


Address: 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403
Phone: 2565392741

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA437 AL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BC BS 51531165 01

Other Providers KELLY DURHAM

NPI Name Taxonomy Address Enumeration
1326093956 Kelly Rae Durham Physician Assistant 1106 Main Street Ext, Swansboro, NC 28584-9114 2006-05-23

Office Location

Street Address 4021 BALMORAL DR SW
City HUNTSVILLE
State AL
Zip Code 35801-6403

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City HUNTSVILLE
Zip Code 35801

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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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