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

Kellie Leday

Individual provider Specialist · NPI 1972357796

Kellie Leday is a Specialist in Beaumont, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3965 Phelan Blvd Ste 104
Beaumont, TX 77707-2253
Phone: (832) 693-2213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5595 Bonnie Lee St, Beaumont, TX 77705-6006 — (832) 693-2213

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence P8WUN1JA8R (TX)
Specialist Taxonomy 174400000X · Licence P8WUN1JA8R (TX)

Record details

NPI number1972357796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 17, 2024
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address5595 Bonnie Lee St, Beaumont, TX 77705-6006

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