Cordial, Leslie Rae

Cordial, Leslie Rae is an individual health care provider with primary practice located at 98 River St , Clay City KY 40312-1314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cordial, Leslie Rae can be contacted via phone (606) 663-7788.

Contact Information

Primary practice address
98 River St Clay City KY 40312-1314
Fax: (606) 663-7785
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3011552 Kentucky

Profile Details

NPI number 1841854924
LBN Legal business name Cordial, Leslie Rae
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2019
Last updated Apr 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841854924 NPPES
Kentucky Other 3011552 KENTUCKY BOARD OF NURSING LICENSURE

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