Badura, Kelly Marie

Badura, Kelly Marie is an individual health care provider with primary practice located at 8970 Winchester Rd , Memphis TN 38125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Badura, Kelly Marie can be contacted via phone (901) 794-5806.

Contact Information

Primary practice address
8970 Winchester Rd Memphis TN 38125
Phone: (901) 794-5806
Fax: (901) 794-7922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1174 Tennessee

Profile Details

NPI number 1730226804
LBN Legal business name Badura, Kelly Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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