Individual
KATHY LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4714 OAK POINTE DR, LOUISVILLE, KY 40245-6438
(502) 339-6363
Mailing address
4714 OAK POINTE DR, LOUISVILLE, KY 40245-6438
(502) 339-6363
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1031737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000067574
ANTHEM
KY
01
—
4900016
UHC
KY
Enumeration date
10/28/2006
Last updated
07/08/2007
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