Kay M Durant

Individual provider Active NPI Physical Therapist · Philadelphia, MS

NPI 1770876237 · NPPES record last updated May 17, 2011

Key facts

NPI
1770876237
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
898 (MS)
Practice address
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone
(601) 663-1296
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
898MSMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 898 MS Yes

Addresses

Primary practice location

1001 Holland Ave
Philadelphia, MS 39350-2161

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Other providers in Philadelphia, MS

All providers in Philadelphia, MS · Physical Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.