KELLIE LEDAY
NPI 1972357796
Prosthetic/Orthotic Supplier in Beaumont, TX

Active since April 17, 2024
3965 PHELAN BLVD STE 104, BEAUMONT, TX 77707(832) 693-2213 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 19, 2025, Jul 2, 2024, Jun 27, 2024 and 2 more (5 updates tracked since 2024).

About Kellie Leday NPPES

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

KELLIE LEDAY (NPI 1972357796) is an individual prosthetic/orthotic supplier provider in Beaumont, Texas, licensed in Texas (P8WUN1JA8R) and active in the NPI registry since April 2024. She maintains a secondary practice location in Beaumont.

NPPES Registry Identity

NPI1972357796
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameKELLIE LEDAY
Location Address3965 PHELAN BLVD STE 104Beaumont, TX 77707-2253
Mailing Address5595 Bonnie Lee StBeaumont, TX 77705-6006 · (832) 693-2213
Sole ProprietorYes
Enumeration DateApril 17, 2024
Last NPPES UpdateJune 19, 20255 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1972357796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in TX · P8WUN1JA8R
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedSpecialistTaxonomy 174400000X · License P8WUN1JA8R (TX)
3965 PHELAN BLVD STE 104, Beaumont, TX 77707

Secondary Practice Location 1

Location 15595 Bonnie Lee StBeaumont, TX 77705-6006 · Phone (832) 693-2213

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 Kellie Leday's NPI number?

The NPI number for Kellie Leday is 1972357796. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Kellie Leday located?

Kellie Leday practices at 3965 Phelan Blvd Ste 104, Beaumont, TX 77707. The listed phone number is (832) 693-2213.

What is Kellie Leday's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Kellie Leday was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.