Individual
KERRY LEIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4503 PARK DR, RAPID CITY, SD 57702-6926
(605) 394-6789
(605) 394-3341
Mailing address
300 6TH ST, RAPID CITY, SD 57701-5034
(605) 394-6789
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R030488
SD
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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