Individual
TOBY EDWARD LEAVENDUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
16809 R RD, MAYETTA, KS 66509-8954
(785) 845-6043
Mailing address
16809 R RD, MAYETTA, KS 66509-8954
(785) 845-6043
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
13-89907-022
KS
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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