Individual
LELAND MARY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12706 LARGO DR, SAVANNAH, GA 31419-2606
(203) 224-9914
Mailing address
12706 LARGO DR, SAVANNAH, GA 31419-2606
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN296706
GA
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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