Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kelly Marie Badura, PA

Individual provider Physician Assistant · NPI 1730226804

Mrs. Kelly Marie Badura, PA is a Physician Assistant in Memphis, Tennessee. Qualified in 2003, 23 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
23
Licensed in
TN
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8970 Winchester Rd
Memphis, TN 38125
Phone: (901) 794-5806
Fax: (901) 794-7922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1174 (TN)

Record details

NPI number1730226804
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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