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Individual
KELCEY DIANE LEOPARD
Active
Individual
KELCEY DIANE LEOPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C CST CNOR RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
140534
IA
363L00000X
Nurse Practitioner
Primary
A168677
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CEP11471
NATIONAL INSTITUTE OF FIRST ASSISTING
—
Enumeration date
10/03/2019
Last updated
08/15/2022
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