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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEIRAN WALSH LLANEZA, PHYSICIAN ASSISTANT

Active Sole Proprietor

KEIRAN WALSH LLANEZA, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in CHARLOTTE, North Carolina. NPI 1396884219 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CHARLOTTE, NC

Registration Details

NPI Number
1396884219
Provider Type
Individual
Gender
Female
NPI Issued
Feb 6, 2007 (19.524532086389 yrs)
Last Updated
Apr 23, 2014
Licenses
100392 (NC)
0010-00392 (NC)
Sole Proprietor
Yes

Practice Information

Address
3125 SPRINGBANK LN
SUITE E
CHARLOTTE, NC, 282263378
Browse NC providers · Browse ZIP 28226
Phone
7043813510
Fax
7045403668
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in CHARLOTTE, NC

Name Credential NPI
MR. MATTHEW G BAKER PA-C 1356349914
SARAH JANETTE CHAPMAN P.A. 1043207129
MISS LISA C FLECK PA-C 1639166465
COLLEEN MARIE HOLDEN PAC 1740278423
MR. AARON T BLACKMER P.A 1255321972
MR. JOEL WESLEY THOMPSON PA-C 1366429094
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.