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MRS. LEISHA KAE KELLY LPN
NPI 1912421074
Licensed Practical Nurse in Chattanooga, TN

Active since July 31, 2017
6110 SHALLOWFORD ROAD, SUITE B, CHATTANOOGA, TN 37421(423) 499-1031(423) 296-6384 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Jul 31, 2017 (2 updates tracked since 2017).

About Mrs. Leisha Kae Kelly Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LEISHA KAE KELLY LPN (NPI 1912421074) is an individual licensed practical nurse in Chattanooga, Tennessee, licensed in Tennessee (56055) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1912421074
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. LEISHA KAE KELLYCredential: LPN
Location Address6110 SHALLOWFORD ROAD, SUITE BChattanooga, TN 37421
Mailing Address6110 Shallowford Rd Ste BChattanooga, TN 37421-1894 · (423) 499-1031 · Fax (423) 296-6384
Phone(423) 499-1031
Fax(423) 296-6384
Sole ProprietorYes
Enumeration DateJuly 31, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1912421074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in TN · 56055✔ Licensed in TN · 86055
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
6110 SHALLOWFORD ROAD, Chattanooga, TN 37421
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACEY L HAVEMAN LPC
Counselor (Mental Health)
6110 SHALLOWFORD ROAD, SUITE B
CHATTANOOGA, TN 37421
Hamilton County (423) 499-1031
HILLARY PACE
Social Worker
6110 SHALLOWFORD ROAD
CHATTANOOGA, TN 37421
Hamilton County (423) 987-5638
RACHEL EASON
Counselor (Mental Health)
6110 SHALLOWFORD ROAD, SUITE B
CHATTANOOGA, TN 37421
Hamilton County (423) 499-1031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leisha Kelly's NPI number?

The NPI number for Leisha Kelly is 1912421074. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Leisha Kelly located?

Leisha Kelly practices at 6110 Shallowford Road Suite B, Chattanooga, TN 37421. The listed phone number is (423) 499-1031.

What is Leisha Kelly's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Leisha Kelly was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.