Individual
KAYLEE LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-4200
Mailing address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7354-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190284-30
RN LICENSE
WI
Enumeration date
12/07/2016
Last updated
12/07/2016
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