Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY DOUGLAS
Active Sole ProprietorKELLY DOUGLAS is a Medical Physician Assistant healthcare provider located in HUNTINGDON, Tennessee. NPI 1912649120 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HUNTINGDON, TN
Registration Details
- NPI Number
- 1912649120
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2022 (4.3965368109259 yrs)
- Last Updated
- Jul 29, 2024
- License
-
5629 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3493 VETERANS DR N STE CHUNTINGDON, TN, 383446230Browse TN providers · Browse ZIP 38344
- Phone
- 7319862933
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in HUNTINGDON, TN
| Name | Credential | NPI |
|---|---|---|
| MEAGEN STURDIVANT MADDOX | PA-C | 1285999433 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.