Individual
KELCEY DIANE LEOPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C CST CNOR RNFA
Contact information
Practice address
417 S EAST ST, CORYDON, IA 50060-1835
(641) 872-2260
Mailing address
212 N BUTLER ST APT 1, CORYDON, IA 50060-1323
(641) 203-3251
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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