Individual
KELLY J LUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-5922
(541) 706-6869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TAP4690
AZ
208D00000X
General Practice Physician
201610216NP-PP
OR
208D00000X
General Practice Physician
TAP4690
AZ
363LF0000X
Family Nurse Practitioner
Primary
201610216NP-PP
OR
363LF0000X
Family Nurse Practitioner
4042935
KY
363LP2300X
Primary Care Nurse Practitioner
TAP4690
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500729417
—
OR
Enumeration date
10/10/2012
Last updated
07/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us