person
Keiran Walsh Llaneza, PHYSICIANASSISTANT
Medical Physician Assistant in Charlotte, North Carolina
NPI 1396884219

Keiran Walsh Llaneza is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Keiran Walsh Llaneza practices in Charlotte, NC and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Keiran Walsh Llaneza is 1396884219 and holds a License No. 100392 (North Carolina).

The current practice location address for Keiran Walsh Llaneza is 3125 Springbank Ln, Charlotte, NC and can be reached out via phone at 704-381-3510 and via fax at 704-540-3668.

Location: 3125 Springbank Ln, Charlotte, NC, 28260-2148
person
Provider Profile Details
NPI Number
1396884219
Provider Name
Keiran Walsh Llaneza
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
3125 Springbank Ln, Charlotte, NC, 28260-2148
Phone Number
704-381-3510
Fax Number
704-540-3668
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396884219 05 NC
8102249 05 NC
0531PA 05 SC
institution
Provider Business Practice Location Address Details
Address
3125 Springbank Ln
City
State
Zip
28226-3378
Phone Number
704-381-3510
Fax Number
704-540-3668
person
Provider Business Mailing Address Details
Address
3125 Springbank Ln
City
State
Zip
28226-3378
Phone Number
704-381-3510
Fax Number
704-540-3668
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
100392 (North Carolina)
Definition
Definition to come...
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