Provider Demographics
NPI:1609277664
Name:DURKEE, KATE MOORE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:MOORE
Last Name:DURKEE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5569 HOUSTON RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31216-5709
Mailing Address - Country:US
Mailing Address - Phone:478-781-5065
Mailing Address - Fax:478-781-0012
Practice Address - Street 1:5569 HOUSTON RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31216-5709
Practice Address - Country:US
Practice Address - Phone:478-781-5065
Practice Address - Fax:478-781-0012
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN116991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily