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Kelly Patricia Leuck
Military Health Care Provider in Bossier City, Louisiana
NPI 1881188530

Kelly Patricia Leuck is a Military Health Care Provider based in Bossier City, LA. Kelly Patricia Leuck practices in Bossier City, LA. The NPI Number for Kelly Patricia Leuck is 1881188530 and holds a License No. (Louisiana).

The current practice location address for Kelly Patricia Leuck is 1042 Cressmont St, Bossier City, LA and can be reached out via phone at 831-246-2088.

Location: 1042 Cressmont St, Bossier City, LA, 71111-5759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881188530
Provider Name
Kelly Patricia Leuck
Credential
Provider Entity Type
Individual
Gender
Female
Address
1042 Cressmont St, Bossier City, LA, 71111-5759
Phone Number
831-246-2088
Fax Number
Provider Enumeration Date
06/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1042 Cressmont St
City
Bossier City
State
Louisiana
Zip
71111-5759
Phone Number
831-246-2088
Fax Number
person
Provider Business Mailing Address Details
Address
1042 Cressmont St
City
Bossier City
State
Louisiana
Zip
71111-5759
Phone Number
831-246-2088
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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