Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENDALL DIVANTE LEONARD
Active Sole ProprietorKENDALL DIVANTE LEONARD is a Contractor healthcare provider located in GLENWOOD, Illinois. NPI 1245864784 is currently active in the NPPES registry. Verify at CMS.
Contractor · GLENWOOD, IL
Registration Details
- NPI Number
- 1245864784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2020 (6.4875642562368 yrs)
- Last Updated
- Feb 24, 2020
- License
-
V00018705 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
524 N ROBERTS DR APT 2BGLENWOOD, IL, 604252300Browse IL providers · Browse ZIP 60425
- Phone
- 7086904333
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.