NPI 1205531670

Corey Donovan Collins

Practitioner Licensed Practical Nurse Leavenworth, KS

Practice location

Address: 4101 S 4th St, Leavenworth, KS 66048-5014
Phone: (913) 682-2000
Mailing address: 2801 Francis Ave, Leavenworth, KS 66048-4198

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 23-49469-052 (KS)

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Registry record

NPI: 1205531670
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2023
Record last updated: 4 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.