Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHADAE KEILIA KLECKLEY
Active Sole ProprietorMRS. SHADAE KEILIA KLECKLEY is a Podiatric Surgery healthcare provider located in NEW CITY, New York. NPI 1023659703 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · NEW CITY, NY
Registration Details
- NPI Number
- 1023659703
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2019 (6.8830046648259 yrs)
- Last Updated
- Oct 3, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 DIXWELL ROADNEW CITY, NY, 10956Browse NY providers · Browse ZIP 10956
- Phone
- 9175655207
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.