Leonhardt, Kacey Kathleen

Leonhardt, Kacey Kathleen is an sole proprietor health care provider with primary practice located at 1527 Summerset Dr Unit 9 , Racine WI 53406-7631. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Leonhardt, Kacey Kathleen can be contacted via phone (262) 886-6776.

Contact Information

Primary practice address
1527 Summerset Dr Unit 9 Racine WI 53406-7631
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1194911891
LBN Legal business name Leonhardt, Kacey Kathleen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 19 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 1194911891 NPPES
Wisconsin MEDICAID 35039100

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