NPI 1881188530

Kelly Patricia Leuck

Practitioner Military Health Care Provider Bossier City, LA

Practice location

Address: 1042 Cressmont St, Bossier City, LA 71111-5759
Phone: (831) 246-2088

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

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Public Health or Welfare Agency

Agencies Taxonomy 251K00000X

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Registry record

NPI: 1881188530
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2018
Record last updated: 17 Jun 2018

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.