Kelly Celeste Landry in Savannah - Physician Assistant
Kelly Celeste Landry - NPI 1154368389
Kelly Celeste Landry is a Physician Assistant in Savannah, Georgia. Kelly Celeste Landry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Celeste Landry is 1154368389. The last update date is 2023-05-31.
Kelly Celeste Landry's current location address is 4717 Hwy 80 East Suite H-i, Savannah, Georgia. You can contact this provider via phone number 9128982227 and fax number 9128982230. The mailing address for Kelly Celeste Landry is 4717 Hwy 80 East Suite H-i, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Celeste Landry |
|---|---|
| Address | 4717 Hwy 80 East Suite H-i, Savannah, Georgia |
| Phone Number | 9128982227 |
| Fax Number | 9128982230 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154368389 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2023-05-31 |
Provider Mailing Address Detail
| Address | 4717 Hwy 80 East Suite H-i |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 31410 |
| Phone Number | 9128982227 |
| Fax Number | 9128982230 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11526 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1529095 | LA | -- |
Post Comment/ Review Below
Could you provide the complete physical address where Kelly Celeste Landry is located?
The Kelly Celeste Landry is situated at the following address: 4717 Hwy 80 East Suite H-I, Savannah, GA, 31410.
What is Kelly Celeste Landry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Celeste Landry's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Kelly Celeste Landry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Celeste Landry is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Kelly Celeste Landry receive its 1154368389 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Celeste Landry was assigned its 1154368389 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kelly Celeste Landry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly Celeste Landry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-31.