Individual
MRS. LESLEE ELLEN CARNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFNP
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-2507
(913) 588-1227
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-6405
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2012006267
MO
363L00000X
Nurse Practitioner
Primary
75962
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177089466
—
MO
05
—
200975630A
—
MO
05
—
200975630B
—
KS
01
—
P01193398
RR MEDICARE
MO
Enumeration date
03/04/2012
Last updated
02/12/2025
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