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NPI Code Detail

MEDICARE: KAY HORRES DURST MD

MEDICARE: KAY HORRES DURST MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME79121FL

General Provider Information

NPI Number : 1033161823
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAY HORRES DURST MD
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 888-472-0043
Fax Number : 843-724-2440
Provider Business Practice Location Address
First Line : 306 STATION 22 1/2 ST
Second Line :
City : SULLIVANS IS
State : SC
Zip : 29482-9756
Country : US
Telephone Number : 843-883-3176
Fax Number : 843-883-3459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 04/22/2025

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