Individual
KURT D LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1001 N MINNEAPOLIS, WICHITA, KS 67214-3124
(316) 293-2647
(316) 293-1863
Mailing address
1010 N KANSAS, SUITE 3049, WICHITA, KS 67214-3199
(316) 293-2647
(316) 293-1863
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74826
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161920
BCBS
KS
Enumeration date
06/13/2005
Last updated
12/03/2007
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