Leadbetter, Kristen

Leadbetter, Kristen is an individual health care provider with primary practice located at 415 N 9Th St Ste 4W16, Springfield IL 62702-5303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Leadbetter, Kristen can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
415 N 9Th St Ste 4W16 Springfield IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 757-6844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036-134761 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-134761 Illinois

Profile Details

NPI number 1083877088
LBN Legal business name Leadbetter, Kristen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Aug 12th, 2014 - about 10 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 1083877088 NPPES
Illinois MEDICAID 036134761

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