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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kelly Douglas

Medical Physician Assistant in Huntingdon, TN · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912649120

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Registry record

Entity type Individual (Type 1)
Name Kelly Douglas
Sex Female
Practice address Huntingdon, TN, 38344
Phone (731) 986-2933
Enumeration date Apr 8, 2022
Last updated in NPPES Jul 29, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5629 (TN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kelly Douglas?
The National Provider Identifier (NPI) for Kelly Douglas is 1912649120, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kelly Douglas practice?
The practice location on file with NPPES is in Huntingdon, TN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-29.