Individual
KURT H. LEGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1661 MILLSTONE RD, SAG HARBOR, NY 11963-2211
(917) 674-0890
Mailing address
PO BOX 449, SAG HARBOR, NY 11963-0009
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
350561
NY
163WH0200X
Home Health Registered Nurse
350561
NY
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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