Durham, Kelly M
Durham, Kelly M is an individual health care provider with primary practice located at 4021 Balmoral Dr Sw , Huntsville AL 35801-6403. 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. Durham, Kelly M can be contacted via phone (256) 539-2741.Contact Information
Primary practice address
4021 Balmoral Dr Sw
Huntsville AL 35801-6403
Phone: (256) 539-2741
Fax: (256) 539-2775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA437 | Alabama |
Profile Details
| NPI number | 1831148220 |
|---|---|
| LBN Legal business name | Durham, Kelly M |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Apr 21st, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831148220 | NPPES |
| Alabama | Other | 51531165 | BC BS |
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