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

Keyairra Edlow

Individual provider Technician · NPI 1639940075

Keyairra Edlow is a Technician in Fayetteville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

101 Beckett Ln Ste 202
Fayetteville, GA 30214-7157
Phone: (215) 694-8080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician (primary) Taxonomy 374700000X

Record details

NPI number1639940075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 13, 2024
Mailing address4179 Leidy Ave, Philadelphia, PA 19104-1014

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