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Individual

LEIGH ANN KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
705 E MARSHALL AVE, SUITE 3000, LONGVIEW, TX 75601-5573
(903) 315-2700
(903) 236-2575
Mailing address
705 E MARSHALL AVE, SUITE 3000, LONGVIEW, TX 75601-5573
(903) 315-2700
(903) 236-2575

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
683702
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
598448YMAF
MEDICARE
TX
01
75-2616977-083
TRICARE
TX
01
752616977068
TRICARE
TX
01
8HB308
BCBS
TX
Enumeration date
11/11/2009
Last updated
12/26/2017
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