Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY PATRICIA LEUCK
Active Sole ProprietorKELLY PATRICIA LEUCK is a Military Health Care Provider healthcare provider located in BOSSIER CITY, Louisiana. NPI 1881188530 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1881188530
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2018 (8.1943504753989 yrs)
- Last Updated
- Jun 17, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1042 CRESSMONT STBOSSIER CITY, LA, 711115759Browse LA providers · Browse ZIP 71111
- Phone
- 8312462088
- Primary Specialty
-
Military Health Care Provider
171000000X
- Additional Specialty
- Military Health Care Provider
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.