Leedom, Kristin E

Leedom, Kristin E is an individual health care provider with primary practice located at 1447 N Harrison St , Saginaw MI 48602-4727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leedom, Kristin E can be contacted via phone (989) 583-4220.

Contact Information

Primary practice address
1447 N Harrison St Saginaw MI 48602-4727
Phone: (989) 583-4220
Fax: (989) 583-4287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704200026 Michigan

Profile Details

NPI number 1619190808
LBN Legal business name Leedom, Kristin E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Sep 10th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619190808 NPPES
Michigan Other 5008701350 BLUE CROSS
Michigan MEDICAID 4537150 BLUE CROSS

Popular Providers