Leach, Kelly Marie

Leach, Kelly Marie is an individual health care provider with primary practice located at 1300 S Columbia Rd , Grand Forks ND 58201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leach, Kelly Marie can be contacted via phone (701) 780-2300.

Contact Information

Primary practice address
1300 S Columbia Rd Grand Forks ND 58201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R156241-1 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R29405 North Dakota

Profile Details

NPI number 1972836385
LBN Legal business name Leach, Kelly Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Feb 28th, 2019 - about 5 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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