Individual
LESLIE GAYLE KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1212
Mailing address
185 HAWK LNDG, CAMPBELLSVILLE, KY 42718-4938
(270) 403-3757
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1105059
KY
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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