Individual
KELLY ANN LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
8264 LYTLE TRAILS RD, WAYNESVILLE, OH 45068-9255
(937) 673-1232
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.0027080
OH
Other
Enumeration date
04/15/2020
Last updated
08/18/2020
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