KELLY CELESTE MONDELLO PA-C NPI 1154368389

NPI Information

NPI: 1154368389
Provider Name: KELLY CELESTE MONDELLO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
7777 HENNESSY BLVD
EMERGENCY DEPT, STE #211
BATON ROUGE, LA
ZIP 70808
Phone: (225) 765-7163
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Kelly Celeste Mondello, PA-C is a medical physician assistant in Baton Rouge, LA. Kelly Celeste Mondello, PA-C NPI is 1154368389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7777 HENNESSY BLVD
EMERGENCY DEPT, STE #211
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 765-7163

The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	A10618	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q23097	MEDICARE UPIN
2	1529095	MEDICAID	LOUISIANA
3	5C060PD18	MEDICARE PIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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