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Individual
KRISTEN LEAKE
Active
Individual
KRISTEN LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
805300
TX
363LF0000X
Family Nurse Practitioner
Primary
AP132400
TX
Other
Enumeration date
10/14/2016
Last updated
09/24/2021
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