Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keiran Walsh Llaneza, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1396884219

Keiran Walsh Llaneza, PHYSICIANASSISTANT is a Medical Physician Assistant in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

3125 Springbank Ln Ste E
Charlotte, NC 28226-3378
Phone: (704) 381-3510
Fax: (704) 540-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-00392 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 100392 (NC)

Record details

NPI number1396884219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedFebruary 6, 2007
Last updated in NPPESApril 23, 2014

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