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Individual

KELLIE LYNN LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
700 DECATUR AVE NORTH, STE 109, GOLDEN VALLEY, MN 55427
(612) 682-4912
(612) 682-4914
Mailing address
700 DECATUR AVE NORTH, STE 109, GOLDEN VALLEY, MN 55427
(612) 682-4912
(612) 682-4914

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7557
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7557
MN

Other

Enumeration date
07/16/2020
Last updated
11/28/2023
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