Individual
KATHLEEN HARRELL LEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1300 W BROAD ST # 842022, RICHMOND, VA 23284-9089
(804) 828-8828
(804) 828-1093
Mailing address
1300 W BROAD ST # 842022, RICHMOND, VA 23284-9089
(804) 828-8828
(804) 828-1093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176799
VA
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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