Puckett-Leslie, Kathleen Marie

Puckett-Leslie, Kathleen Marie is an individual health care provider with primary practice located at 75 Fenwood Rd , Boston MA 02115-6103. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Puckett-Leslie, Kathleen Marie can be contacted via phone (617) 626-9300.

Contact Information

Primary practice address
75 Fenwood Rd Boston MA 02115-6103
Phone: (617) 626-9300
Fax: (617) 626-9578
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 92528 Massachusetts

Profile Details

NPI number 1053537340
LBN Legal business name Puckett-Leslie, Kathleen Marie
Credentials APRN,BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Mar 12th, 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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