Individual
LESLIE B MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8740 NIEMAN RD, OVERLAND PARK, KS 66214-1741
(913) 894-4050
(913) 428-2951
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1488610052
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100418420B
—
KS
01
—
430072326
RR MEDICARE
KS
05
—
918395302
—
MO
Enumeration date
03/01/2006
Last updated
04/15/2026
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