Kelly Demuynck

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

KELLY DEMUYNCK

Practice address

4012 N 9TH Ave
Pensacola, FL 32503-2824

Phone

(850) 444-4777

Fax

(850) 434-3387

NPI assigned

Apr 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Madelyn Rayos

Title

Administrative Assistant

Phone

(850) 444-4777

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Brooks Hodnette Jr., MD FACS

  • Colon & Rectal Surgery Physician
  • Pensacola, FL
  • NPI 1407840598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1013337435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032824",
            "telephone_number": "850-444-4777",
            "fax_number": "850-434-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032824",
            "telephone_number": "850-444-4777",
            "fax_number": "850-434-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY DEMUYNCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "RAYOS",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "850-444-4777"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Kelley, PHARM D
• Nikki Sue Kelley, NP-C
• Sherri Lynn Kelley
• Suzanne Kelley, RPH, CPH
• Tara Ruth Kelley
• Kelly Stone Counseling LLC
• Andrew Kelly
• Beth Kelly
• David Kelly
• Jessica Lynn Kelly, D.C.

• Surgical Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.