Individual
MS. KENNA R LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP
Contact information
Practice address
2934 COVEY LN, SUNNYSIDE, WA 98944-8941
(866) 904-7721
Mailing address
1117 TIETON DR, YAKIMA, WA 98902-3622
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP61219759
WA
Other
Enumeration date
09/29/2021
Last updated
04/14/2023
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