KELLY DEMUYNCK NPI 1013337435

NPI Information

NPI: 1013337435
Provider Name: KELLY DEMUYNCK
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
4012 N 9TH AVE
PENSACOLA, FL
ZIP 32503
Phone: (850) 444-4777
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KELLY DEMUYNCK is a surgical physician assistant in Pensacola, FL. KELLY DEMUYNCK NPI is 1013337435. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4012 N 9TH AVE
PENSACOLA, FL
ZIP 32503-824
Phone: (850) 444-4777
Fax: (850) 434-3387

The provider's authorized official is Madelyn Rayos .
The authorized official title is Administrative Assistant and has the following contact phone number (850) 444-4777.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 4/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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