Kelly Douglas
NPI #1912649120 in Huntingdon, Tennessee
Provider Information
- NPI Number
- 1912649120
- Entity Type
- Individual
- Name
- Kelly Douglas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Apr 8, 2022
- Last Updated
- Jul 29, 2024
Practice Location
- Address
- 3493 VETERANS DR N STE C
- City
- Huntingdon
- State
- Tennessee
- ZIP Code
- 38344-6230
- Phone
- (731) 986-2933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant - Medical — Medical |
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