Individual
LESA KERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
1263 ELK ST, FRANKLIN, PA 16323-1312
(814) 437-3674
(814) 437-3677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017008862
MO
363LF0000X
Family Nurse Practitioner
SP014345
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029871390001
—
PA
01
—
3144591
HIGHMARK MEDICARE ADVANTAGE
PA
01
—
424058
UPMC
PA
01
—
5004151
AETNA
PA
Enumeration date
11/11/2014
Last updated
09/17/2024
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