Individual
MRS. KELLY CELESTE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 232-9700
(912) 748-0270
Mailing address
5501 ABERCORN STREET, STE D BOX 104, SAVANNAH, GA 31405
(912) 232-9700
(912) 748-0270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529095
—
LA
Enumeration date
05/31/2006
Last updated
03/26/2025
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