Kelly Marie Badura in Memphis - Physician Assistant
Kelly Marie Badura - NPI 1730226804
Kelly Marie Badura is a Physician Assistant in Memphis, Tennessee. Kelly Marie Badura practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Marie Badura is 1730226804. The last update date is 2021-09-14.
Kelly Marie Badura's current location address is 8970 Winchester Rd, Memphis, Tennessee. You can contact this provider via phone number 9017945806 and fax number 9017947922. The mailing address for Kelly Marie Badura is 8970 Winchester Rd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Marie Badura |
|---|---|
| Address | 8970 Winchester Rd, Memphis, Tennessee |
| Phone Number | 9017945806 |
| Fax Number | 9017947922 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1730226804 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2021-09-14 |
Provider Mailing Address Detail
| Address | 8970 Winchester Rd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381250 |
| Phone Number | 9017945806 |
| Fax Number | 9017947922 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1174 |
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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 perfor |
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What is the Kelly Marie Badura's 1730226804?
The Kelly Marie Badura's NPI (National Provider Identifier) Number is 1730226804. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly Marie Badura's physical address?
The Kelly Marie Badura is physically located at 8970 Winchester Rd, in the city of Memphis, TN, with the postal code 381250.
What is Kelly Marie Badura's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Marie Badura is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Kelly Marie Badura receive its 1730226804?
The Kelly Marie Badura was issued its 1730226804 on 2007-01-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kelly Marie Badura, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly Marie Badura, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-09-14.