KEIRAN WALSH LLANEZA PHYSICIAN ASSISTANT NPI 1396884219

NPI Information

NPI: 1396884219
Provider Name: KEIRAN WALSH LLANEZA, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3125 SPRINGBANK LN
SUITE E
CHARLOTTE, NC
ZIP 28226
Phone: (704) 381-3510
Get Directions

Keiran Walsh Llaneza, PHYSICIAN ASSISTANT is a medical physician assistant in Charlotte, NC. Keiran Walsh Llaneza, PHYSICIAN ASSISTANT NPI is 1396884219. 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:

3125 SPRINGBANK LN
SUITE E
CHARLOTTE, NC
ZIP 28226-378
Phone: (704) 381-3510
Fax: (704) 540-3668

The enumeration date for this NPI number is 2/6/2007 and was last updated on 4/23/2014.

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	100392	NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	0010-00392	NORTH CAROLINA	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	2769626	MEDICARE UPIN	NORTH CAROLINA
2	8102249	MEDICAID	NORTH CAROLINA
3	0531PA	MEDICAID	SOUTH CAROLINA
4	1396884219	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »