KELLY A HOUMAND P.A.-C - NPI 1164795241 - Physician Assistant in Marietta, GA

Q: What is Kelly Houmand's NPI number?

The NPI number for Kelly Houmand is 1164795241. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Q: What is Kelly Houmand's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Houmand was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly A Houmand P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A HOUMAND P.A.-C (NPI 1164795241) is an individual medical provider in Marietta, Georgia, licensed in Nevada (PA0254) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1164795241

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKELLY A HOUMANDCredential: P.A.-C

Location Address111 MARBLE MILL RD NWMarietta, GA 30060-1047

Mailing Address111 Marble Mill Rd NwMarietta, GA 30060-1047 · (770) 422-1013 · Fax (770) 514-5996

Phone(770) 422-1013

Fax(770) 514-5996

Sole ProprietorNo

Enumeration DateFebruary 20, 2012

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1164795241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · PA0254

111 MARBLE MILL RD NW, Marietta, GA 30060

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE BLACK PA-C

Physician Assistant