Legleiter, Kelli D

Legleiter, Kelli D is an individual health care provider with primary practice located at 5815 Broadway , Great Bend KS 67530-3123. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Legleiter, Kelli D can be contacted via phone (620) 792-2544.

Contact Information

Primary practice address
5815 Broadway Great Bend KS 67530-3123
Fax: (620) 792-2544
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSCSW 2385 Kansas

Profile Details

NPI number 1578883070
LBN Legal business name Legleiter, Kelli D
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2010
Last updated Feb 27th, 2013 - about 11 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 1578883070 NPPES
Kansas MEDICAID 200654610A

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