Individual
PEGGY ELLEN KLEINLEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
451 STERLING HWY, HOMER, AK 99603-7440
(907) 235-0369
(907) 235-0810
Mailing address
4300 BARTLETT ST, HOMER, AK 99603-7005
(907) 235-0369
(907) 235-0810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3704
AK
171M00000X
Case Manager/Care Coordinator
CM37041
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG799
—
AK
05
—
HC2563
—
AK
05
—
HH2711
—
AK
05
—
MS0272
—
AK
05
—
NA3799
—
AK
05
—
PCG519A
—
AK
Enumeration date
01/03/2008
Last updated
01/03/2008
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