KELLIE LEDAY NPI 1972357796

NPI Information

  • NPI: 1972357796
  • Provider Name: KELLIE LEDAY
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Individual
  • Address: 3965 PHELAN BLVD STE 104
    BEAUMONT, TX
    ZIP 77707
  • Phone: (832) 693-2213

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NPI Details

Kellie Leday is a prosthetic orthotic supplier in Beaumont, TX. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Kellie Leday NPI is 1972357796. 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:

3965 PHELAN BLVD STE 104
BEAUMONT, TX
ZIP 77707-253
Phone: (832) 693-2213

The enumeration date for this NPI number is 4/17/2024 and was last updated on 6/19/2025.

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
1174400000XSpecialistP8WUN1JA8RTEXASNo
2335E00000XProsthetic/Orthotic SupplierP8WUN1JA8RTEXASYes

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: 11/21/2025

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