KELLI S LANDRUM FNP-C NPI 1437526894

NPI Information

  • NPI: 1437526894
  • Provider Name: KELLI S LANDRUM, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 805 FRONTAGE RD
    KENAI, AK
    ZIP 99611
  • Phone: (907) 283-3600

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NPI Details

Kelli S Landrum, FNP-C is a family nurse practitioner in Kenai, AK with 10 years of experience. Kelli S Landrum, FNP-C NPI is 1437526894. 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:

805 FRONTAGE RD
KENAI, AK
ZIP 99611
Phone: (907) 283-3600
Fax: (907) 283-3601

The NPI 1437526894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2015 and was last updated on 8/15/2024.

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
1363L00000XNurse Practitioner227339LOUISIANANo
2363LF0000XNurse PractitionerFamily201506440NP-PPOREGONNo
3363LF0000XNurse PractitionerFamily133545ALASKAYes

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 Other Provider Identifier Issuer
11684877MEDICAIDALASKA

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: 3/30/2025

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