Leavell, Keith James

Leavell, Keith James is an individual health care provider with primary practice located at 1200 6Th Ave N Centracare Clinic, Saint Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Leavell, Keith James can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N Centracare Clinic Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 34628 Minnesota
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 34628 Minnesota

Profile Details

NPI number 1184606311
LBN Legal business name Leavell, Keith James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Aug 14th, 2013 - about 12 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 1184606311 NPPES
Other 1011246 PREFERRED ONE
Other 597042 PREFERRED ONE
Other 112115 PREFERRED ONE
Other COMP PREFERRED ONE
Other 110122640 PREFERRED ONE
Other 597042 PREFERRED ONE
Other 928880500 PREFERRED ONE
Other COMP PREFERRED ONE
Other COMP PREFERRED ONE
Other HP10860 PREFERRED ONE
Other COMP PREFERRED ONE
Other 4800134 PREFERRED ONE
Other C11369 PREFERRED ONE
Other 27T22LE PREFERRED ONE
Other 2114069 PREFERRED ONE

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