Individual
MRS. KACEY KATHLEEN LEONHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1527 SUMMERSET DR UNIT 9, RACINE, WI 53406-7631
(262) 886-6776
Mailing address
6828 MIDDLE RD APT 6, RACINE, WI 53402-6300
(608) 315-0086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35039100
—
WI
Enumeration date
09/18/2007
Last updated
09/18/2007
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